NPI | 1235196767 |
---|---|
Former Name | KIMBERLY J REICHERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 32890) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 2140) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2024-06-25 |