Individual
KIMBERLY C. VEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2190 OLD ROUTE 146 LOOP, VIENNA, IL 62995-2416
(618) 658-2117
Mailing address
2190 OLD ROUTE 146 LOOP, VIENNA, IL 62995-2416
(618) 658-2117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
KY-A3791
KY
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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