Individual
KIMBERLY A GARGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
TR002968
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1362797
AETNA
NJ
01
—
2142740000
AMERIHEALTH/KEYSTON/IBC
NJ
01
—
2767103
UNITED HEALTHCARE
NJ
01
—
7949106
CIGNA
NJ
Enumeration date
09/20/2006
Last updated
09/24/2010
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