Individual provider · Type 1 NPI

Kimberly Gresham, OTR

Occupational Therapist · Tyler, TX

NPI number 1063899862 Active

Practice location

1001 Wsw Loop 323
Tyler, TX 75701-9416

Fax (903) 509-1383

Mailing address

612 E Twin Creeks Trl
Troup, TX 75789-6708

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X114603 (TX)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1063899862

Kimberly Gresham, OTR's National Provider Identifier is 1063899862, issued on Apr 30, 2015. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Tyler, TX. The record was last updated on Apr 30, 2015.