Individual
KIMBERLY N ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
413 PRINDLE CT, BEL AIR, MD 21015-4829
(410) 207-8906
Mailing address
413 PRINDLE CT, BEL AIR, MD 21015-4829
(410) 207-8906
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04704
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419800000
—
MD
Enumeration date
04/09/2007
Last updated
04/08/2019
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