Kimber Allen, COTA

Individual provider Active NPI Occupational Therapy Assistant · Delphi, IN

NPI 1710402011 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1710402011
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
32002216A (IN)
Practice address
308 W North St
Delphi, IN 46923-1628
Phone
(574) 870-7280
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
32002216AINMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32002216A IN Yes

Addresses

Primary practice location

308 W North St
Delphi, IN 46923-1628

Mailing address

308 W North St
Delphi, IN 46923-1628
Phone (574) 870-7280

Other providers in Delphi, IN

All providers in Delphi, IN · Occupational Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.