Individual
KIMBERLY CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-4116
Mailing address
2931 BROAD ST APT 113, BRISTOL, TN 37620-3469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000003593
TN
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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