| NPI | 1205261047 |
|---|---|
| Former Name | KIMBERLY ANNE GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23329) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036448) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2024-07-31 |