| NPI | 1184782856 |
|---|---|
| Former Name | KIMBERLY JOY DONELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016042) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040-0003453) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2014-03-03 |