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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY BOAN, COTA

Active

KIMBERLY BOAN, COTA is a Occupational Therapy Assistant healthcare provider located in PORT ORANGE, Florida. NPI 1508509001 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · PORT ORANGE, FL

Registration Details

NPI Number
1508509001
Provider Type
Individual
Gender
Female
NPI Issued
Apr 14, 2022 (4.3300763787828 yrs)
Last Updated
Mar 31, 2023
License
18904 (FL)

Practice Information

Address
3520 S NOVA RD
PORT ORANGE, FL, 321293725
Browse FL providers · Browse ZIP 32129
Phone
3862818193
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in PORT ORANGE, FL

Name Credential NPI
JOANNE PLUMB RIEGER COTA 1477670859
MARGARET J. BOWS COTA 1154529311
LINDA SCHAFFER 1447548201
BONNIE JO MEERDINK 1457630444
JOAN WALCH 1417233354
DEBRA L MASTOWSKI 1629340898
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.