Individual
MRS. JESSICA ANN KIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ORT/L
Contact information
Practice address
10500 WAYZATA BLVD, MINNETONKA, MN 55305-1511
(952) 224-1919
(952) 746-5655
Mailing address
3408 E KIMBERLY RD APT 65, DAVENPORT, IA 52807-2519
(815) 973-6262
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.010258
IL
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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