Individual
KIMBERLY A DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
901 N CURTIS RD, STE 201, BOISE, ID 83706-1338
(208) 367-3315
(208) 367-2674
Mailing address
901 N CURTIS RD, STE 201, BOISE, ID 83706-1338
(208) 367-3315
(208) 367-2674
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-923
ID
Other
Enumeration date
08/14/2009
Last updated
09/11/2009
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