Individual
KIMBERLY JO VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
500 PARK AVE, ORANGE PARK, FL 32073-3132
(904) 503-9556
Mailing address
140 PALMA VISTA WAY APT 531, ST AUGUSTINE, FL 32092-0939
(714) 310-3658
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT23999
FL
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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