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Individual

MRS. KIMBERLY AR BARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
4602 CUMBERLAND RD, FAYETTEVILLE, NC 28306-2412
(910) 423-5622
Mailing address
700 HEATHROW DR, SPRING LAKE, NC 28390-9322
(248) 259-3317

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
112368
TX
225XP0200X
Pediatric Occupational Therapist
Primary
8543
NC
225XP0200X
Pediatric Occupational Therapist
R4259
KY

Other

Enumeration date
08/23/2007
Last updated
11/06/2014
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