Individual
MS. KIMBERLY BAUMGARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
510 SANDY PINES DR, ORANGE CITY, FL 32763-6577
(386) 956-1582
Mailing address
510 SANDY PINES DR, ORANGE CITY, FL 32763-6577
(386) 956-1582
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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