Individual
KIMBERLY MOUTGALIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
9100 BUCK STARLING RD APT 75, MACCLENNY, FL 32063-4691
(386) 755-3016
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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