Individual
KIMBERLY A CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
510 VALLEY VIEW DR, MOLINE, IL 61265-6133
(309) 797-0866
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-006910
IL
225X00000X
Occupational Therapist
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056-006910
ILLINOIS PT LICENSE NUMBE
IL
Enumeration date
06/09/2006
Last updated
06/23/2021
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