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Individual

MR. JOHN PAUL KILMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
11850 NICHOLAS ST STE 100, OMAHA, NE 68154-4476
(402) 505-4670
Mailing address
PO BOX 48462, SPOKANE, WA 99228-1462
(509) 638-9177

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 10244
CA
225X00000X
Occupational Therapist
OT-975
ID
225X00000X
Occupational Therapist
Primary
OT002923
WA

Other

Enumeration date
05/02/2011
Last updated
05/02/2011
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