Individual
KIMBERLY MARIE SICHENEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1585 3RD ST, FORT JOHNSON, LA 71459-5102
(337) 718-7289
Mailing address
14214 JUNIPER BREEZE CT, WILLIS, TX 77318-1450
(530) 514-2191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118364
TX
225X00000X
Occupational Therapist
3494
CA
Other
Enumeration date
11/09/2008
Last updated
10/15/2024
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