Individual
KIMBERLY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 S AUDUBON AVE, MOORESVILLE, NC 28117-9141
(812) 818-0108
Mailing address
117 S AUDUBON AVE, MOORESVILLE, NC 28117-9141
(812) 818-0108
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 17475
FL
Other
Enumeration date
01/12/2010
Last updated
09/20/2021
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