Individual
KIMBERLY BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
545 W. MOONGLO RD, SCOTTSBURG, IN 47170
(812) 752-3499
Mailing address
545 W. MOONGLO RD, SCOTTSBURG, IN 47170
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3200253A
IN
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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