KIMBERLY VANDIVER

JOPLIN, MO
NPI1982135497
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: KS  18-01310)
Enumeration Date2017-03-26
Last Update Date2017-03-26
Business Address
-- KIMBERLY VANDIVER OTA
4087 W FOUNTAIN RD
JOPLIN, MO 64801-7686
Phone number: 417-389-9165
Mailing Address
-- KIMBERLY VANDIVER OTA
4087 W FOUNTAIN RD
JOPLIN, MO 64801-7686
Phone number: 417-389-9165
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