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Individual
KIMBERLY LINEBERGER
Active
Individual
KIMBERLY LINEBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
103300
SC
225100000X
Physical Therapist
—
SC
225X00000X
Occupational Therapist
—
SC
235Z00000X
Speech-Language Pathologist
09143618
SC
235Z00000X
Speech-Language Pathologist
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86-3905666
—
SC
Enumeration date
01/14/2022
Last updated
02/10/2022
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