Individual
MRS. KIMBERLY LYN PACKWOOD-NAVARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321
(219) 836-4527
(219) 836-6752
Mailing address
7411 W 92ND AVE, CROWN POINT, IN 46307-7482
(219) 558-8158
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000252A
IN
Other
Enumeration date
04/12/2007
Last updated
05/23/2018
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