Kim Stockheimer, OTR

NPI #1417128091 in Holmen, Wisconsin

Provider Information

NPI Number: 1417128091
Entity Type: Individual
Name: Kim Stockheimer, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Mar 21, 2008
Last Updated: Mar 21, 2008

Practice Location

Address: 1604 VIKING AVE
City: Holmen
State: Wisconsin
ZIP Code: 54636-9678
Phone: (608) 526-3042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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