Jerrom, Kimberly Berthold

Jerrom, Kimberly Berthold is an individual health care provider with primary practice located at 5125 Michaux Rd , Greensboro NC 27410-9836. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jerrom, Kimberly Berthold can be contacted via phone (828) 774-5222.

Contact Information

Primary practice address
5125 Michaux Rd Greensboro NC 27410-9836
Phone: (828) 774-5222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT16933 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 11521 North Carolina

Profile Details

NPI number 1639545825
LBN Legal business name Jerrom, Kimberly Berthold
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2015
Last updated Dec 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639545825 NPPES
North Carolina Other 11521 NCBOT

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