MRS. Jennifer Kimberly, COTA/L
NPI #1720228679 in Clovis, New Mexico
Provider Information
- NPI Number
- 1720228679
- Entity Type
- Individual
- Name
- MRS. Jennifer Kimberly, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- COTA/L
- Enumeration Date
- Mar 4, 2009
- Last Updated
- Mar 4, 2009
Practice Location
- Address
- 810 E 21ST ST
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-4442
- Phone
- (575) 763-9517
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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