Individual
KIMBERLY DIANE FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OY
Contact information
Practice address
689 S APOLLO BLVD, MELBOURNE, FL 32901-1455
(321) 674-5035
(321) 674-5039
Mailing address
1954 ROCKLEDGE BLVD STE 119, ROCKLEDGE, FL 32955-3761
(321) 433-1556
(321) 433-1500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17959
FL
Other
Enumeration date
05/11/2018
Last updated
03/09/2021
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