Organization
SFMB-SNEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN KIMBER OTR/L (OCCUPATIONAL THERAPIST)
(810) 394-7188
Entity
Organization
Contact information
Practice address
3604 CLARKSTON RD, CLARKSTON, MI 48348-5215
(248) 814-9300
Mailing address
3604 CLARKSTON RD, CLARKSTON, MI 48348-5215
(248) 814-9300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
—
—
103TS0200X
School Psychologist
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/24/2011
Last updated
12/02/2011
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