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Individual

KIMBERLY SABA WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
1019 N PEACH AVE APT 203, FRESNO, CA 93727-2471
(812) 219-4007
Mailing address
1019 N PEACH AVE APT 203, FRESNO, CA 93727-2471
(812) 219-4007

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3734
CA

Other

Enumeration date
03/31/2018
Last updated
03/31/2018
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