Individual
KIMBERLY M. DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(618) 288-5711
Mailing address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(618) 288-5711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2001031926
MO
225X00000X
Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KD63741102P
EARLY INTERVENTION
IL
Enumeration date
10/23/2006
Last updated
07/08/2007
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