Individual
KIMBERLY A. REYNOLDS KOWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1509 S ARRAWANA AVE, TAMPA, FL 33629-6101
(813) 244-1543
Mailing address
1509 S ARRAWANA AVE, TAMPA, FL 33629-6101
(813) 244-1543
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11003
FL
Other
Enumeration date
11/21/2009
Last updated
11/21/2009
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