Individual
MRS. KIMBERLY ELAINE DE LONG HERSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA OTR/L
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-7128
Mailing address
5352 27TH AVE S, MINNEAPOLIS, MN 55417-1930
(612) 728-5851
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103040
MN
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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