| NPI | 1275997678 |
|---|---|
| Former Name | KIMBERLY TORNBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2023-09-11 |