Provider Demographics
NPI:1790151199
Name:LAWVER, KYMBER (OTR/L)
Entity Type:Individual
Prefix:
First Name:KYMBER
Middle Name:
Last Name:LAWVER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 PIMLICO DR
Mailing Address - Street 2:
Mailing Address - City:BELLA VISTA
Mailing Address - State:AR
Mailing Address - Zip Code:72715-6904
Mailing Address - Country:US
Mailing Address - Phone:225-226-2824
Mailing Address - Fax:
Practice Address - Street 1:31 LUPI CT
Practice Address - Street 2:SUITE 150
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-4761
Practice Address - Country:US
Practice Address - Phone:386-447-0011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT17120225X00000X
WI225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist