Individual
DR. KIMBERLY DACHE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOT
Contact information
Practice address
515 N JEFFERSON AVE, SAINT LOUIS, MO 63103-3000
(314) 652-4100
Mailing address
620 JOHNSON HILL RD, APT. B, COLLINSVILLE, IL 62234-6039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008963
IL
Other
Enumeration date
06/28/2010
Last updated
11/01/2013
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