| NPI | 1063608321 |
|---|---|
| Former Name | KIMBERLY SUE DORSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT0006420) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 10203R) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2020-02-19 |