Individual
MS. KIMBERLY ANN LAIBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
6B HAYES CT, SUPERIOR, WI 54880-2939
(715) 394-7797
Mailing address
6B HAYES CT, SUPERIOR, WI 54880-2939
(715) 394-7797
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
872-027
WI
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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