Karlie Kimball, MS, OTR/L

Individual provider Active NPI Occupational Therapist · Mount Wolf, PA

NPI 1487291985 · NPPES record last updated Dec 3, 2019

Key facts

NPI
1487291985
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OC016739 (PA)
Practice address
4880 N Sherman Street Ext
Mount Wolf, PA 17347-9637
Phone
(717) 266-9294
Fax
(717) 384-8071
NPI assigned
Dec 3, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC016739PAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC016739 PA Yes

Addresses

Primary practice location

4880 N Sherman Street Ext
Mount Wolf, PA 17347-9637

Mailing address

4880 N Sherman Street Ext
Mount Wolf, PA 17347-9637
Phone (717) 266-9294

Other providers in Mount Wolf, PA

All providers in Mount Wolf, PA · Occupational Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.