Individual
KIM DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7830 PINE FOREST RD, COTTAGE A, PENSACOLA, FL 32526-8404
(850) 741-6715
(850) 204-0489
Mailing address
922 E BOBE ST, PENSACOLA, FL 32503-3962
(850) 741-6715
(850) 204-0489
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10201
FL
Other
Enumeration date
08/03/2017
Last updated
07/13/2023
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