Individual
MRS. KIMBERLY M FONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1225 HUFFMAN MILL RD, SUITE 201, BURLINGTON, NC 27215-8788
(336) 584-7689
(336) 584-8063
Mailing address
2307 MILL LN, HIGH POINT, NC 27265-9184
(336) 269-1034
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6009
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477560704
—
NC
Enumeration date
08/01/2006
Last updated
05/14/2015
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