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NPI Code Detail

MEDICARE: KIMBERLY LIND OT

MEDICARE: KIMBERLY LIND 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 Therapist11441NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10397730010OTHERNCNSC #

General Provider Information

NPI Number : 1932612165
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY LIND OT
Provider Business Mailing Address
First Line : 8809 WALDEN RIDGE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-2166
Country : US
Telephone Number : 980-428-1615
Fax Number :
Provider Business Practice Location Address
First Line : 16455 STATESVILLE RD STE 300
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-7139
Country : US
Telephone Number : 704-801-3719
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2017
Last Update Date : 05/13/2026

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