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Individual

KIMBERLY LAURA MCQUIBBEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1050 NE 125TH ST, NORTH MIAMI, FL 33161-5805
(305) 905-9872
Mailing address
5445 COLLINS AVE, APT BTH1, MIAMI BEACH, FL 33140-2568
(305) 905-9872

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12802
FL

Other

Enumeration date
08/02/2010
Last updated
08/02/2010
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