Individual
SHEILA SUE KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1451 EDWIN ST, WESTLAND, MI 48186-3895
(734) 326-9322
Mailing address
1451 EDWIN ST., WESTLAND, MI 48186-3895
(734) 326-9322
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202004917
MI
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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