| NPI | 1144468539 |
|---|---|
| Former Name | KIMBERLEY DANIELLE MAUGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 19791) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008464) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2022-07-07 |