Most Relevant Information
Provider Data
| NPI Number: | 1003463068 |
| Provider Name: | KIMBERLY ANNE POGUE OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225XH1200X |
| Specialty: | Occupational Therapist |
| License Number: | OT12952 |
Most Important Dates
| Enumeration Date: | 08/23/2019 |
| Last Updated: | 08/23/2019 |
Provider Practice Location
3037 LAKELAND HILLS BLVD
LAKELAND
FL
338052225
Practice Location Phone/Fax
| Phone: | 8638666931 |
| Fax: |
Provider Mailing Location
1625 VILLAGE CENTER DR APT 202
LAKELAND
FL
338032884
Provider Mailing Phone/Fax
| Phone: | 3523288692 |
| Fax: |