NPI 1023215720
Kim M Waterbury, MSOTRLCHT
Practice location
- Address
- 8100 Northland Dr, Bloomington, MN 55431-4800
- Phone
- (952) 831-8742
- Mailing address
- 2532 Eagle Valley Dr, Woodbury, MN 55129-4206
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1023215720
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Jun 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.