Individual
MRS. KIMBERLY RENEE TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4300 NANDINA CT, EVANS, GA 30809-5269
(706) 339-1635
(706) 945-1630
Mailing address
4300 NANDINA CT, EVANS, GA 30809-5269
(706) 339-1635
(706) 945-1630
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2579
SC
225X00000X
Occupational Therapist
Primary
3450
GA
Other
Enumeration date
07/17/2006
Last updated
04/13/2023
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