Individual
KIM M NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1213 S 40TH AVE, YAKIMA, WA 98908-3961
(509) 966-8981
(509) 966-2125
Mailing address
1213 S 40TH AVE, YAKIMA, WA 98908-3961
(509) 966-8981
(509) 966-2125
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002926
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155733
LABOR & INDUSTRIES
WA
05
—
8350654
—
WA
Enumeration date
08/30/2006
Last updated
07/08/2007
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