NPI 1093855447

Kimberly Tobergte, OTRL

Practitioner Contractor Surprise, AZ

Practice location

Address: 15802 N Parkview Place, Surprise, AZ 85374-1234
Phone: (623) 238-0056
Mailing address: 15422 N 177th Dr, Surprise, AZ 85388-3100

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 3714 (AZ)

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Registry record

NPI: 1093855447
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 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.