Individual
MRS. JENNIFER JOHNSON KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
301 KILDAIRE WOODS DR, CARY, NC 27511-5557
(919) 481-9199
Mailing address
117 COUNTRY VALLEY CT, APEX, NC 27502-8093
(919) 259-3042
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4686
NC
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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