SearchIllinois225200000X

Kimberly Marvel, PTA

NPI 1992952899 · on the registry since 2008

Practice

Address
205 W Main St
Ewing, IL 62836
Phone
(618) 629-2715

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois