Kimberly Marie Theobald
Occupational Therapist
163 E Main St
Little Falls
, New Jersey 07424-1711
Kimberly Marie Theobald
Occupational Therapist
163 E Main St
Little Falls
, New Jersey 07424-1711
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Kimberly Marie Theobald
- 163 E Main St
- Little Falls, NJ
- Zip : 07424-1711
- Phone :
Second Address
- Kimberly Marie Theobald
- 163 E Main St
- Little Falls, NJ
- Zip : 07424-1711
- Phone : (201) 403-1345
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist |
National Provider Identifier
| NPI | 1003588013 |
|---|---|
| Provider Name | Kimberly Marie Theobald |
| First Address | Little Falls, NJ 07424-1711 |
| Second Address | Little Falls, NJ 07424-1711 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2021 |
| Last Update Date | 29/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.