Individual provider · Type 1 NPI

Kimberly Tanner

Developmental Therapist · Jacksonville, FL

NPI number 1639318967 Active

Practice location

12276 San Jose Blvd, Ste 507
Jacksonville, FL 32223-8628

Call (904) 288-8910 Map

Fax (904) 288-8912

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1639318967

Kimberly Tanner's National Provider Identifier is 1639318967, issued on Feb 10, 2009. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 10, 2009.