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NPI Code Detail

MEDICARE: KIMBERLY ROMAN

MEDICARE: KIMBERLY ROMAN
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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1336829878
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ROMAN
Provider Business Mailing Address
First Line : 1345 ENTERPRISE DR
Second Line :
City : WEST CHESTER
State : PA
Zip : 19380-5964
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2076 S INDEPENDENCE BLVD STE 1B
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-4773
Country : US
Telephone Number : 757-622-7272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2023
Last Update Date : 07/19/2023

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Directions to “ KIMBERLY ROMAN ” Practice Location

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