| NPI | 1083158836 |
|---|---|
| Former Name | KIMBERLY RAE-COLLINS CRESPO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 295777) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CA PT292577) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2022-11-03 |