Individual
MRS. KIMBERLY CARTER GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1827 S COURT ST STE C, VISALIA, CA 93277-5469
(559) 738-8561
(559) 625-0389
Mailing address
1827 S COURT ST STE C, VISALIA, CA 93277-5469
(559) 738-8561
(559) 625-0389
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT2176
CA
Other
Enumeration date
11/14/2006
Last updated
03/07/2008
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