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Organization

KIMBERLY RASOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMBERLY RASOR OTR/L (OWNER)
(561) 254-4568
Entity
Organization

Contact information

Practice address
2112 S CONGRESS AVE, PALM SPRINGS, FL 33406-7670
(561) 254-4568
(561) 357-7983
Mailing address
4702 VETERAN TER, LAKE WORTH, FL 33463-8197
(561) 254-4568
(561) 357-7983

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT9147
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004222800
FL
Enumeration date
01/12/2012
Last updated
12/14/2020
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