Individual
MRS. KIMBERLY WHITE RASOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2112 S CONGRESS AVE, PALM SPRINGS, FL 33406-7670
(561) 254-4568
Mailing address
4702 VETERAN TERR, LAKE WORTH, FL 33463-8550
(561) 254-4568
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT9147
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891484200
—
FL
Enumeration date
10/17/2007
Last updated
12/10/2020
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