Provider Demographics
NPI:1285022855
Name:VERDIER, KIM MARIA (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:KIM
Middle Name:MARIA
Last Name:VERDIER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:KIM
Other - Middle Name:MARIA
Other - Last Name:GUTHRIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:5672 BRASHER AVE
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-3918
Mailing Address - Country:US
Mailing Address - Phone:513-891-7318
Mailing Address - Fax:
Practice Address - Street 1:4900 COOPER RD
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-6915
Practice Address - Country:US
Practice Address - Phone:513-793-3362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-1000208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation