Individual
KIMBERLY DEHNERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1880 UNION ST, OZARK, AL 36360
(334) 443-1043
Mailing address
416 SIMMONS ST, ENTERPRISE, AL 36330-2986
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1353
AL
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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