Individual
KIMBERLY BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
231 N NEW YORK AVE, WINTER PARK, FL 32789-3117
(407) 599-3700
Mailing address
231 N NEW YORK AVE, WINTER PARK, FL 32789-3117
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT 11602
FL
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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