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Individual
KIMBERLY L. CRIDELICH
Active
Individual
KIMBERLY L. CRIDELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
234-26
WI
225X00000X
Occupational Therapist
5333
AZ
225XH1200X
Hand Occupational Therapist
533
AZ
Other
Enumeration date
01/23/2008
Last updated
01/05/2017
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