Individual
KIMBERLY JO FAKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA OTR/L
Contact information
Practice address
17004 PARK TRAIL DR, MONUMENT, CO 80132-7140
(719) 433-6993
Mailing address
17004 PARK TRAIL DR, MONUMENT, CO 80132-7140
(719) 433-6993
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0000709
CO
Other
Enumeration date
02/05/2022
Last updated
02/05/2022
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