NPI | 1235329715 |
---|---|
Former Name | KIMBERLY ANN A'HEARN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010170) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT7913) |
Enumeration Date | 2007-07-31 |
Last Update Date | 2019-12-12 |