Individual
KRISTOPHER KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9922 HIGHWAY 151, SAN ANTONIO, TX 78251-4554
(210) 546-2273
Mailing address
600 N PEARL ST STE 1100, DALLAS, TX 75201-7495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119322
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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