Individual
MRS. KIMBERLY KAREN KUKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L, CLT
Contact information
Practice address
2300 SWAN LAKE BLVD STE 103, INDEPENDENCE, IA 50644-9708
(319) 334-5155
Mailing address
2300 SWAN LAKE BLVD STE 103, INDEPENDENCE, IA 50644-9708
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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