Individual
KIMBERLEY KAYE LAWLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
24 MILLARD ST, COUNCIL BLUFFS, IA 51503-1775
(402) 305-8334
Mailing address
24 MILLARD ST, COUNCIL BLUFFS, IA 51503-1775
(402) 305-8334
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
01350
IA
225X00000X
Occupational Therapist
Primary
794
NE
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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