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Individual

KIMBERLY R BENTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
4415 RIO D ORO, SAN ANTONIO, TX 78233-6748
(210) 651-3339
(210) 651-3339
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(800) 944-9782
(610) 438-2020

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108072
TX

Other

Enumeration date
04/28/2010
Last updated
04/28/2010
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