Stephen Kambo, OT
Occupational Therapist in Hartford City, IN. Individual provider (NPI-1).
NPI number1821153370
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1821153370
- Entity type
- Individual (NPI-1)
- Name
- Stephen Kambo
- Credential
- OT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 31002174A | IN | Yes |
Practice location
1709 N Walnut StHartford City, IN 47348-1359
Phone 765-348-4197 · Fax 765-348-9627
Mailing address
1709 N Walnut StHartford City, IN 47348-1359
Phone 765-348-4197 · Fax 765-348-9627
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