Individual
KIMBERLY HENRICHON
Active
Individual
KIMBERLY HENRICHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDOTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2466
MA
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043527497
GREATWEST
MA
01
—
103355100
DEPT OF LABOR
MA
01
—
64-04290
UHC
MA
05
—
9715568
—
MA
01
—
972730
NETWORK
MA
Enumeration date
08/08/2007
Last updated
07/19/2011
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