Individual
KIMBERLY J BIRDSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3186 MAIN ST, EXMORE, VA 23350
(757) 442-5437
Mailing address
15 AMES ST, ONANCOCK, VA 23417-1804
(732) 597-0251
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007754
VA
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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