Individual
KIMBERLY ANN IMSDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
484 ROHNERT PARK EXPY W, ROHNERT PARK, CA 94928-7931
(707) 591-0170
(707) 591-0171
Mailing address
484 ROHNERT PARK EXPY W, ROHNERT PARK, CA 94928-7931
(707) 591-0170
(707) 591-0171
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
216918
CA
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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