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1548767262
KIMBERLY ELIZABETH REVAK
CLERMONT, FL
NPI
1548767262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NJ 46TR00821100)
Enumeration Date
2018-04-09
Last Update Date
2022-01-24
Business Address
KIMBERLY ELIZABETH REVAK OTR/L
2400 S HWY 27
CLERMONT, FL 34711-6816
Phone number: 352-394-0212
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Mailing Address
KIMBERLY ELIZABETH REVAK OTR/L
2301 STANFORD CT
CLERMONT, FL 34711-7451
Phone number:
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