Individual
TYMBER JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 W BLANCHARD AVE, SOUTH HUTCHINSON, KS 67505-1526
(620) 663-7175
Mailing address
301 E AVENUE B, MOUNT HOPE, KS 67108-8808
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01154
KS
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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