Individual
MRS. KIMBERLY LYNELL BLOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
1755 WALNUT PARK LN, AURORA, IL 60504-4282
(919) 889-3089
Mailing address
1755 WALNUT PARK LN, AURORA, IL 60504-4282
(919) 889-3089
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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