Kimberly Villarreal Renner, OTR/L
Occupational Therapist in Orange Park, FL. Individual provider (NPI-1).
NPI number1639870710
StatusActive
Last updated in NPPESAug 3, 2026
Details
- NPI
- 1639870710
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Villarreal Renner
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 15, 2023
- Certification date
- Aug 3, 2026
- Last updated
- Aug 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT23999 | FL | Yes |
Practice location
500 Park AveOrange Park, FL 32073-3132
Phone 904-503-9556
Mailing address
149 Chesterwood RdSt Augustine, FL 32084-0088
Phone 714-310-3658
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All 47 Occupational Therapist providers in Orange Park · All 2,903 providers in Orange Park
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