Individual
KIMBERLY LABOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR
Contact information
Practice address
3005 S RIVERSIDE DR STE 103, BELOIT, WI 53511-1500
(608) 313-8600
Mailing address
2745 SHARON DR, BELOIT, WI 53511-9566
(608) 247-2003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4557
WI
Other
Enumeration date
09/20/2015
Last updated
09/20/2015
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