Individual
MRS. KIMBERLY ANN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
106 EAST VICTORIA COURT, STE D THERAPEUTIC INNOVATIONS, GREENVILLE, NC 27858-5708
(252) 321-6001
(252) 321-6004
Mailing address
PO BOX 3830, THERAPEUTIC INNOVATIONS, GREENVILLE, NC 27836-1830
(252) 320-6001
(252) 321-6004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7133
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0196M
BCBS
NC
05
—
7210273
—
NC
Enumeration date
05/14/2009
Last updated
05/14/2009
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