Individual
KIMBERLY DEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8400 CLEARVISTA PL, INDIANAPOLIS, IN 46256-3700
(317) 845-0464
Mailing address
10517 BARTLEY DR, INDIANAPOLIS, IN 46236-8377
(317) 556-2797
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003680A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31003680A
OT LICENSE
IN
Enumeration date
10/28/2022
Last updated
10/28/2022
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