NPI | 1043257447 |
---|---|
Former Name | KIMBERLY MICHEL HAMDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03395) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2000174344) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2019-04-08 |