Kimberly Formby, OTR/L

NPI #1023511631 in Steuben, Maine

Provider Information

NPI Number: 1023511631
Entity Type: Individual
Name: Kimberly Formby, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Mar 10, 2018
Last Updated: Mar 10, 2018

Practice Location

Address: 96 DYERS BAY RD
City: Steuben
State: Maine
ZIP Code: 04680-3118
Phone: (207) 619-1172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X

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