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Individual
MRS. JADA KAHL
Active
Individual
MRS. JADA KAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
001876
IA
225X00000X
Occupational Therapist
Primary
0713
SD
225X00000X
Occupational Therapist
103558
MN
225X00000X
Occupational Therapist
1967
AK
Other
Enumeration date
04/20/2010
Last updated
06/28/2011
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