| NPI | 1659785723 |
|---|---|
| Former Name | KIMBERLY MARIE FLICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 1717) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 101136) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |