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NPI Code Detail

MEDICARE: KIMBERLY ANN SEGLER OT

MEDICARE: KIMBERLY ANN SEGLER OT
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 TherapistOT2202FL

General Provider Information

NPI Number : 1922003342
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANN SEGLER OT
Provider Business Mailing Address
First Line : 1325 SAN MARCO BLVD
Second Line : SUITE 200
City : JACKSONVILLE
State : FL
Zip : 32207-8568
Country : US
Telephone Number : 904-346-3465
Fax Number : 904-858-6489
Provider Business Practice Location Address
First Line : 12961 N MAIN ST
Second Line : SUITE 201 & 202
City : JACKSONVILLE
State : FL
Zip : 32218-2769
Country : US
Telephone Number : 904-757-2474
Fax Number : 904-757-5541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 03/28/2016

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Directions to “ KIMBERLY ANN SEGLER OT” Practice Location

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