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Stefanie Kimmell, OTR/L

Occupational Therapist in Tracy, CA. Individual provider (NPI-1).

NPI number1962179556
StatusActive
Last updated in NPPESAug 23, 2021

Details

NPI
1962179556
Entity type
Individual (NPI-1)
Name
Stefanie Kimmell
Credential
OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 23, 2021
Certification date
Aug 23, 2021
Last updated
Aug 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT6782CAYes

Practice location

1436 Pine Ct
Tracy, CA 95376-4323

Phone 408-406-6307

Mailing address

1436 Pine Ct
Tracy, CA 95376-4323

Phone 408-406-6307

Other practice locations

2241 N Union Rd
Manteca, CA 95336-8271

Phone 209-242-8480

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