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NPI Code Detail

MEDICARE: KIMBERLEY NEMETH-GARCIA OTR

MEDICARE:   KIMBERLEY  NEMETH-GARCIA  OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist1945ND

General Provider Information

NPI Number : 1700629722
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLEY NEMETH-GARCIA OTR
Provider Business Mailing Address
First Line : 2200 20TH ST SW
Second Line :
City : JAMESTOWN
State : ND
Zip : 58401-7500
Country : US
Telephone Number : 701-252-3850
Fax Number : 701-952-1450
Provider Business Practice Location Address
First Line : 4152 30TH AVE S
Second Line :
City : FARGO
State : ND
Zip : 58104-8524
Country : US
Telephone Number : 701-364-9070
Fax Number : 701-364-9071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2024
Last Update Date : 02/02/2026

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Directions to “ KIMBERLEY NEMETH-GARCIA OTR” Practice Location

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