Individual
MS. KIMBERLY BLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
711 COLLINGTON DR, CARY, NC 27511-5836
(919) 460-6500
Mailing address
711 COLLINGTON DR, CARY, NC 27511-5836
(919) 460-6500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6472
NC
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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