Individual
KIMBERLY NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1292 W DRAKE RD, KENDALLVILLE, IN 46755-2806
(260) 347-8824
(260) 458-5741
Mailing address
1292 W DRAKE RD, KENDALLVILLE, IN 46755-2806
(260) 347-8824
(260) 458-5741
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001343A
IN
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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