Individual
KIMBERLY GEISNER-GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1160 DICKINSON ST, SPRINGFIELD, MA 01108-3122
(413) 234-3198
(413) 234-2114
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
002993
CT
225X00000X
Occupational Therapist
Primary
8691
MA
Other
Enumeration date
11/21/2007
Last updated
03/29/2019
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