Individual
KATHLEEN MARIE KUNKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
729 35TH ST., MARION, IN 46953
(765) 674-3371
Mailing address
5603 S. 250 E., PERU, IN 46970
(765) 432-7732
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001587A
IN
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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