Individual
CORY A KIMMERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
500 PROSPECT AVE, OXFORD, NC 27565-2543
(919) 693-1531
Mailing address
4306 TOMMIE SNEED RD, OXFORD, NC 27565-6959
(919) 524-3515
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11917
NC
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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