Individual
MARIA KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
867 YORK RD, GETTYSBURG, PA 17325-7501
(717) 337-3238
Mailing address
3558 SHEARER RD, FAYETTEVILLE, PA 17222-9748
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007314
PA
Other
Enumeration date
04/20/2013
Last updated
04/20/2013
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