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Kimberly Moutgalias, CTRS

Recreation Therapist in Lake City, FL. Individual provider (NPI-1).

NPI number1174498331
StatusActive
Last updated in NPPESOct 8, 2025

Details

NPI
1174498331
Entity type
Individual (NPI-1)
Name
Kimberly Moutgalias
Credential
CTRS
Sex
Female
Sole proprietor
No
Enumeration date
Oct 8, 2025
Certification date
Oct 8, 2025
Last updated
Oct 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225800000X Recreation Therapist––Yes

Practice location

619 S Marion Ave
Lake City, FL 32025-5808

Phone 386-755-3016

Mailing address

9100 Buck Starling Rd Apt 75
Macclenny, FL 32063-4691

Phone 386-755-3016

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Other Recreation Therapist providers in Lake City, FL

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