Individual
MRS. KIMBERLY PARKER BAILLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6505 DRAEBURY LN, DURHAM, NC 27713-6444
(919) 599-6944
Mailing address
6505 DRAEBURY LN, DURHAM, NC 27713-6444
(919) 599-6944
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5259
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301814
—
NC
Enumeration date
01/23/2006
Last updated
01/26/2011
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