Individual provider · Type 1 NPI

Kimberly Villarreal Renner, OTR/L

Occupational Therapist · Orange Park, FL

NPI number 1639870710 Active

Practice location

500 Park Ave
Orange Park, FL 32073-3132

Mailing address

149 Chesterwood Rd
St. Augustine, FL 32084-0088

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT23999 (FL)

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 1639870710

Kimberly Villarreal Renner, OTR/L's National Provider Identifier is 1639870710, issued on Mar 15, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Orange Park, FL. The record was last updated on Aug 3, 2026.