Individual
KIMBERLY HAUGEN FOREHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2012 IRONWOOD CIR, SUITE 230, SOUTH BEND, IN 46635-1888
(574) 387-4049
(574) 387-4062
Mailing address
2146 E ASH MAPLE LN, ELKHART, IN 46514-9011
(513) 532-5056
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005694A
IN
Other
Enumeration date
06/28/2014
Last updated
06/28/2014
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