Individual
ANTIONETTE KIMBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2662 N. BUFFALO DRIVE, UNIT 1407, LAS VEGAS, NV 89128
(773) 675-0815
Mailing address
2662 N. BUFFALO DRIVE, UNIT 1407, LAS VEGAS, NV 89128
(773) 675-0815
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-0962
NV
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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