Individual
KIMBERLY GAIL LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1542 EASTPOINTE DR, POCATELLO, ID 83201-5159
(208) 760-0060
Mailing address
1542 EASTPOINTE DR, POCATELLO, ID 83201-5159
(208) 760-0060
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
OT-807
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376865006
—
ID
Enumeration date
07/13/2010
Last updated
05/21/2012
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