Individual
KIMBERLY ANGELILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5807 ARGERIAN DR STE 101, WESLEY CHAPEL, FL 33545-4151
(813) 973-9068
Mailing address
5807 ARGERIAN DR STE 101, WESLEY CHAPEL, FL 33545-4151
(813) 973-9068
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 13569
FL
Other
Enumeration date
07/13/2009
Last updated
07/03/2015
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