Kimberly Gresham, OTR

NPI #1063899862 in Tyler, Texas

Provider Information

NPI Number: 1063899862
Entity Type: Individual
Name: Kimberly Gresham, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Apr 30, 2015
Last Updated: Apr 30, 2015

Practice Location

Address: 1001 WSW LOOP 323
City: Tyler
State: Texas
ZIP Code: 75701-9416
Phone: (903) 509-1313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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