Individual
KIMBERLY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 PROSPECT AVENUE SUITE 292, MELBOURNE, FL 32901
(321) 952-2110
Mailing address
1220 PROSPECT AVENUE SUITE 292, MELBOURNE, FL 32901
(321) 952-2110
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 10940
FL
Other
Enumeration date
11/06/2009
Last updated
10/27/2010
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