Individual
MRS. KIMBERLY LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006657
IL
225XP0200X
Pediatric Occupational Therapist
056006657
IL
Other
Enumeration date
08/11/2006
Last updated
04/17/2025
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