MRS. Patricia M. Van Den Kieboom, OTR

NPI #1417934308 in Glendale, Wisconsin

Provider Information

NPI Number: 1417934308
Entity Type: Individual
Name: MRS. Patricia M. Van Den Kieboom, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Dec 30, 2005
Last Updated: Oct 21, 2010

Practice Location

Address: 6700 N. PORT WASHINGTON RD.
Address 2: C/O ST. FRANCIS CHILDREN'S CENTER
City: Glendale
State: Wisconsin
ZIP Code: 53217
Phone: (414) 351-8850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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