Individual
KIMBERLY MICHIKO MINAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
17480 DALLAS PKWY STE 221, DALLAS, TX 75287-7361
(214) 623-5900
Mailing address
5220 SPRING VALLEY RD STE 400, DALLAS, TX 75254-2512
(214) 466-1340
(214) 466-1378
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121406
TX
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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