Individual
AMANDA KIMBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
Mailing address
4537 WOODLAND AVE, PORTSMOUTH, OH 45662-6536
(740) 357-5373
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.009318
OH
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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