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Individual

KIMBERLY LAUREN SEAWARD WHITED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS/OTR

Contact information

Practice address
410 10TH AVE W, PALMETTO, FL 34221-5032
(941) 379-3725
(941) 377-1131
Mailing address
63 SARASOTA CENTER BLVD STE 101, SARASOTA, FL 34240-9385
(941) 379-3725
(941) 377-1131

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18311
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023285100
FL
Enumeration date
11/05/2008
Last updated
10/18/2018
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