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 |