Individual
KIMBERLY JO LAMPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1151 S MAIN ST, APT #303, WAKE FOREST, NC 27587-9646
(919) 556-1336
Mailing address
1151 S MAIN ST, APT #303, WAKE FOREST, NC 27587-9646
(919) 556-1336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10429
NC
225X00000X
Occupational Therapist
3260026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40812300
—
WI
Enumeration date
04/15/2008
Last updated
12/02/2016
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