Individual
STEPHEN KAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1709 N WALNUT ST, HARTFORD CITY, IN 47348-1359
(765) 348-4197
(765) 348-9627
Mailing address
1709 N WALNUT ST, HARTFORD CITY, IN 47348-1359
(765) 348-4197
(765) 348-9627
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002174A
IN
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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