Individual
KIMBERLY REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2307 S DALE MABRY HWY STE F, TAMPA, FL 33629-6322
(813) 374-9508
Mailing address
2307 S DALE MABRY HWY STE F, TAMPA, FL 33629-6322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056010084
IL
225X00000X
Occupational Therapist
Primary
OT19155
FL
Other
Enumeration date
02/17/2013
Last updated
06/09/2021
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