Individual
KIMBERLY ROUSSEAU-SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3400 WOODCOCK ST APT K1, BERTHOUD, CO 80513-7026
(636) 541-0986
Mailing address
3400 WOODCOCK ST APT K1, BERTHOUD, CO 80513-7026
(636) 541-0986
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0007752
CO
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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