NPI | 1265949010 |
---|---|
Former Name | KIMBERLY MYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ME 6072) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61208069) |
225100000X Physical Therapist (Licence: NH 5644) | |
Enumeration Date | 2018-01-02 |
Last Update Date | 2025-02-28 |