Individual
MRS. KIMBERLY VIAU ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
248 SILVER HILLS DR, JACKSONVILLE, NC 28546-8748
(910) 333-8549
Mailing address
248 SILVER HILLS DR, JACKSONVILLE, NC 28546-8748
(910) 333-8549
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7327
NC
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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