Individual
KIM GOODWATER BEDOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
2916 HABANA WAY, TAMPA, FL 33614-3566
(813) 227-4347
(813) 428-6050
Mailing address
10144 ARBOR RUN DR, UNIT 109, TAMPA, FL 33647-3566
(843) 437-2858
(813) 428-6050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12910
FL
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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