Doctor Name: | DEBRA KIM HABERMAN |
NPI Number: | 1093741431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR |
License Number: | 00089 |
Business Practice Address: | 906 N Cedar St Rolla, MO - 654013350 |
Business Phone Number: | 5733680999 |
Business Fax Number: | |
Mailing Address: | Po Box 1629, ROLLA |
State: | MO |
Postal Code: | 654021629 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/25/2006 |
NPI Last Update Date: | 07/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 00089 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |