Individual
MS. KIMBERLY DAMON-RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 KOLTENBORN RD, NORTH PORT, FL 34288-8166
(508) 982-9030
Mailing address
1440 KOLTENBORN RD, NORTH PORT, FL 34288-8166
(508) 982-9030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
9045
MA
225X00000X
Occupational Therapist
Primary
OT13664
FL
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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