Search › California › 224Z00000X
Kimberly Wells, COTA
NPI 1912403874 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1019 N Peach Ave Apt 203
Fresno, CA 93727 - Phone
- (812) 219-4007
- Organisation at this address
- Dunamis,Inc Group Home
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-31
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 California