| NPI | 1013977412 |
|---|---|
| Former Name | KIMBERLY GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010524A) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: IN 05010524A) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2017-08-30 |