Individual
CARLA KIMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR LCHT
Contact information
Practice address
1 ORTHOPAEDIC PL, ST AUGUSTINE, FL 32086-4202
(904) 825-0540
(904) 825-0351
Mailing address
6393 PUTNAM ST, ST AUGUSTINE, FL 32080-7661
(904) 829-9494
(904) 829-9334
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT7442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174540001
DMERC CIGNA GOVT SVCS
FL
Enumeration date
07/03/2006
Last updated
02/11/2008
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