Healthcare Provider Details

I. General information

NPI: 1467813238
Provider Name (Legal Business Name): KIMBERLY K GUIRL OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY K SCHOBORG OTR/L

II. Dates (important events)

Enumeration Date: 03/08/2016
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 WAINWRIGHT DR
WALLA WALLA WA
99362-3975
US

IV. Provider business mailing address

5350 E 31ST ST STE 302
TULSA OK
74135-5008
US

V. Phone/Fax

Practice location:
  • Phone: 509-525-5200
  • Fax:
Mailing address:
  • Phone: 918-933-4085
  • Fax: 405-286-9828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XL0004X
TaxonomyLow Vision Occupational Therapist
License Number1604
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1604
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: