Individual
MRS. KIMBERLY G MCCALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4206 WINDING WILLOW DR, TAMPA, FL 33618-8637
(813) 300-0330
Mailing address
4206 WINDING WILLOW DR, TAMPA, FL 33618-8637
(813) 300-0330
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811553200
—
FL
Enumeration date
01/29/2007
Last updated
05/01/2024
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