Individual
GRETCHEN KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1681 HICKORY LOOP, LAS CRUCES, NM 88005-6502
(575) 652-3155
Mailing address
6729 SOUTHWIND DR, EL PASO, TX 79912-3238
(915) 355-2494
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
110337
TX
225X00000X
Occupational Therapist
Primary
3827
NM
Other
Enumeration date
08/23/2012
Last updated
03/17/2018
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