Individual
MRS. KIMBERLY DAWN WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
1001 S 34TH ST, MOUNT VERNON, IL 62864-6232
(618) 242-5700
Mailing address
23736 KEARNEY RD, EWING, IL 62836-1158
(618) 728-4417
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IL
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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