Individual
KATIE KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
590 FISHERS STATION DR STE 130, VICTOR, NY 14564-9744
(585) 924-7207
Mailing address
29 TWIN PONDS DR, SPENCERPORT, NY 14559-1037
(585) 225-5099
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004019-01
NY
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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