Individual
MRS. KIMBERLY K SHOULDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR
Contact information
Practice address
2055 HERITAGE DR, MARTINSVILLE, IN 46151-3158
(765) 342-3304
(765) 342-9575
Mailing address
2055 HERITAGE DR, MARTINSVILLE, IN 46151-3158
(765) 342-3305
(765) 342-9575
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001689A
IN
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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