Individual
KIMBERLY A. MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7720 US HIGHWAY 98 W, SUITE 220, MIRAMAR BEACH, FL 32550-7230
(850) 622-5192
(850) 622-5196
Mailing address
7720 US HIGHWAY 98 W, SUITE 220, MIRAMAR BEACH, FL 32550-7230
(850) 622-5192
(850) 622-5196
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14570
FL
Other
Enumeration date
08/17/2006
Last updated
07/24/2012
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