Individual
KIMBERLEY RENEE YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L, CLT-ALM
Contact information
Practice address
117 RIDGETOP CIR, FLOWOOD, MS 39232-7701
(601) 832-9650
Mailing address
117 RIDGETOP CIR, FLOWOOD, MS 39232-7701
(601) 832-9650
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT0356
MS
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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