Individual
MRS. KIMBERLY ANN SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3850 FRUIT ST, 155 W 8TH ST, ERIE, PA 16504-2022
(814) 451-8412
Mailing address
3850 FRUIT ST, ERIE, PA 16504-2022
(716) 553-2504
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC009928
PA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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