Individual
MRS. KIMBERLY KOOP PECORA
Active
Individual
MRS. KIMBERLY KOOP PECORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1027
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211634
—
NC
Enumeration date
10/11/2006
Last updated
06/29/2009
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