Individual
MRS. KIMBERLY DAWN HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1000 LINCOLN DR, SOUTH CHARLESTON, WV 25309-2304
(304) 768-4400
Mailing address
1230 JUNIOR RD, FRANKLIN FURNACE, OH 45629-8923
(740) 727-2569
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
A4633
KY
224Z00000X
Occupational Therapy Assistant
Primary
C1921
WV
224Z00000X
Occupational Therapy Assistant
OTA.04080
OH
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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