| NPI | 1306284971 |
|---|---|
| Former Name | KIMBERLY PETRA STROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IA 002346) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 002346) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |