Individual
KIMBERLY FAGIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 N WILLSON ST, BLUE HILL, NE 68930-3507
(402) 756-2080
Mailing address
2329 W 10TH ST, HASTINGS, NE 68901-3537
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
447
NE
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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