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Kimberly Boan, COTA

NPI 1508509001 · on the registry since 2022

Practice

Address
3520 S Nova Rd
Port Orange, FL 32129
Phone
(386) 281-8193

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida