Individual
MS. KIMBERLY VANDERKLOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5644 TAVILLA CIR, SUITE 104, NAPLES, FL 34110-3362
(239) 514-5010
(239) 514-5019
Mailing address
5644 TAVILLA CIR, SUITE 104, NAPLES, FL 34110-3362
(239) 514-5010
(239) 514-5019
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 14944
FL
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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