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Individual

MS. KIMBERLY LOUISE BRIMLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
4085 E VENICE AVE LOT 92, VENICE, FL 34292-2520
(863) 514-5876
Mailing address
4085 E VENICE AVE LOT 92, VENICE, FL 34292-2520
(863) 514-5876

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13281
FL

Other

Enumeration date
11/18/2013
Last updated
11/18/2013
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