Individual
KIMBERLY VAN ELSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2100 HARRISON AVE STE C, BUTTE, MT 59701-6004
(406) 690-6996
Mailing address
3004 MAMMOTH DR, BUTTE, MT 59701-8008
(218) 686-2959
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8479
MT
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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