Individual
KIMBER ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
308 W NORTH ST, DELPHI, IN 46923-1628
(574) 870-7280
Mailing address
308 W NORTH ST, DELPHI, IN 46923-1628
(574) 870-7280
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002216A
IN
Other
Enumeration date
08/08/2017
Last updated
07/21/2022
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