| NPI | 1699102947 |
|---|---|
| Former Name | KIMBERLY DAWN JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV C1921) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA.04080) |
| 224Z00000X Occupational Therapy Assistant (Licence: KY A4633) | |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |