MEDICARE: MRS. KIMBERLY H TOWLES OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	1207	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	132VE	OTHER	NC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336169465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIMBERLY H TOWLES OTR/L

Provider Business Mailing Address
First Line	:	PO BOX 7594
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-0594
Country	:	US
Telephone Number	:	252-443-0808
Fax Number	:	252-451-9032

Provider Business Practice Location Address
First Line	:	1501 N BICKETT BLVD
Second Line	:	SUITE F
City	:	LOUISBURG
State	:	NC
Zip	:	27549-2178
Country	:	US
Telephone Number	:	919-497-8414
Fax Number	:	919-497-8478

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	04/16/2009

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