Individual
KIMBERLY GURROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 N TUSTIN ST STE 100, ORANGE, CA 92865-1751
(818) 241-6780
(818) 241-6853
Mailing address
PO BOX 767938, ROSWELL, GA 30076-7938
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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