Individual
KIMBERLY MICHELLE DOEBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2770 S ADAMS ST, BLOOMINGTON, IN 47403-3242
(812) 323-4661
Mailing address
10275 E HOLLRAH RD, PEKIN, IN 47165-8174
(502) 689-9796
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006898A
IN
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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