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Individual

MRS. KIMBERLY HROBAK BUMGARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1099 EDGEWATER CORPORATE PKWY STE B, INDIAN LAND, SC 29707-4516
(803) 929-7408
Mailing address
1165 WESSINGTON MANOR LN STE 200, FORT MILL, SC 29715-7806
(205) 908-7894

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2542
AL
225X00000X
Occupational Therapist
Primary
2610
SC

Other

Enumeration date
04/08/2009
Last updated
10/27/2021
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