Individual
KIMBERLY JOYCE BOBOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 BARNEY DR, JOLIET, IL 60435-5271
(815) 725-2194
Mailing address
212 BARNEY DR, JOLIET, IL 60435-5271
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010177
IL
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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