Individual
KIMBERLY V MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2040 HIGHWAY A1A STE 203, INDIAN HARBOUR BEACH, FL 32937-3566
(321) 890-7720
(321) 821-0477
Mailing address
PO BOX 372084, SATELLITE BEACH, FL 32937-0084
(321) 890-7720
(321) 821-0477
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12419
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892036200
—
FL
Enumeration date
04/23/2007
Last updated
01/06/2024
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