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

KIMBERLY DOUGLASS

Active

KIMBERLY DOUGLASS is a Occupational Therapy Assistant healthcare provider located in FAIRFIELD, California. NPI 1962924340 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · FAIRFIELD, CA

Registration Details

NPI Number
1962924340
Provider Type
Individual
Gender
Female
NPI Issued
Jul 7, 2017 (9.1306204469607 yrs)
Last Updated
Jul 14, 2025

Practice Information

Address
2101 COURAGE DRIVE
MS 10-300
FAIRFIELD, CA, 94533
Browse CA providers · Browse ZIP 94533
Phone
7077842033
Fax
7074254014
Primary Specialty
Occupational Therapy Assistant
225400000X
Additional Specialty
Case Manager
Additional Specialty
Case Manager

Other Occupational Therapy Assistant Providers in FAIRFIELD, CA

Name Credential NPI
MR. JOHN E. BUSTO BA 1225190077
JAMES EDDIE AUSTIN TH.D,BA 1275682122
SONJA EBONY BROWN 1265568646
CHRISTOPHER ROGER HOTHEM 1699890566
MR. YORUBA DEMOND HARRISON 1508071655
MR. GAETANO BERNARDO ALTERIO 1619238516
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.