NPI | 1467813238 |
---|---|
Former Name | KIMBERLY K SCHOBORG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OK 1604) |
Additional Taxonomies | 225XL0004X Occupational Therapist, Low Vision |
Enumeration Date | 2016-03-08 |
Last Update Date | 2019-08-20 |