Kimberly Vandiver, OTA
Occupational Therapy Assistant in Joplin, MO. Individual provider (NPI-1).
NPI number1982135497
StatusActive
Last updated in NPPESMar 26, 2017
Details
- NPI
- 1982135497
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Vandiver
- Credential
- OTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2017
- Last updated
- Mar 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 18-01310 | KS | Yes |
Practice location
4087 W Fountain RdJoplin, MO 64801-7686
Phone 417-389-9165
Mailing address
4087 W Fountain RdJoplin, MO 64801-7686
Phone 417-389-9165
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All 29 Occupational Therapy Assistant providers in Joplin · All 3,057 providers in Joplin
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