Stephen Kambo, OT
Individual provider Active NPI Occupational Therapist · Hartford City, IN
NPI 1821153370 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821153370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 31002174A (IN)
- Practice address
- 1709 N Walnut St
Hartford City, IN 47348-1359 - Phone
- (765) 348-4197
- Fax
- (765) 348-9627
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31002174A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Healthstrategies, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31002174A | IN | Yes |
Addresses
Primary practice location
1709 N Walnut St
Hartford City, IN 47348-1359
Mailing address
1709 N Walnut St
Hartford City, IN 47348-1359
Phone (765) 348-4197
Other providers in Hartford City, IN
- Indiana University Health Ball Memorial Physicians, Inc.
- Indiana University Health Blackford Hospital Inc
- Indiana University Health Jay, Inc.
- Iu Health Ball Memorial Physicians Blackford
- Johnson Memorial Hospital
- Lou Cook Kline
- Rebecca Kovacs
- Robert Earl Kovacs
- Thomas Martin Lee
- Jeremy Paul Loney
All providers in Hartford City, IN · Occupational Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.