Individual
KIMBERLY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1310 37TH ST, VERO BEACH, FL 32960-4860
(772) 569-5107
Mailing address
1395 COX AVE NW, PALM BAY, FL 32907-7822
(321) 266-9291
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 9912
FL
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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