Individual
MRS. KIMBERLY WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1058 MOYE BLVD, GREENVILLE, NC 27834-3750
(252) 412-2859
Mailing address
1058 MOYE BLVD, GREENVILLE, NC 27834-3750
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6019
NC
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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