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Contact Information

KIMBERLY MIRO, COTA
850 E BUTLER RD
GREENVILLE, SC29607-5842
 Phone: 864-675-6421
 Fax: 864-675-9122
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KIMBERLY MIRO · (Female)

NPI # 1912299538
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 05/15/2011
Last updated 05/15/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 1326A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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