Individual
KIMBERLY S WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2159 PALISADES DRIVE, BATON ROUGE, LA 70815
(225) 229-8514
Mailing address
2159 PALISADES DRIVE, BATON ROUGE, LA 70815
(225) 229-8514
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTTZ11975
LA
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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