Individual
KIMBERLY MILLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3812 FORRESTGATE DR, WINSTON SALEM, NC 27103-3036
(336) 600-1089
Mailing address
365 OLD WOOD LN, KERNERSVILLE, NC 27284-6825
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2280
NC
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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