IndividualActive
Kimberly Miro, COTA
NPI 1912299538 · Gerontology Occupational Therapist · Greenville, SC
Provider details
- NPI number
- 1912299538
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1326A (SC)
Practice location
850 E Butler Rd
Greenville, SC 29607-5842
Phone: (864) 675-6421
Fax: (864) 675-9122
Mailing address
2 Bellspring Ct
Simpsonville, SC 29680-7063
Registry dates
- Enumerated
- 2011-05-15
- Last updated
- 2011-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.