| NPI | 1083812713 |
|---|---|
| Former Name | KIMBERLY E DESKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 8415) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 10129) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2011-12-09 |