Doctor Name: | MRS. KIM FLIEGE |
NPI Number: | 1578912978 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | 11946 |
Business Practice Address: | 849 Menlo Ave Menlo Park, CA - 940254728 |
Business Phone Number: | 6503230805 |
Business Fax Number: | |
Mailing Address: | 720 Bair Island Rd., #106, REDWOOD CITY |
State: | CA |
Postal Code: | 940635555 |
Phone Number: | 6503230805 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2016 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 11946 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |