| NPI | 1275017303 |
|---|---|
| Professional Name | KIMBERLY GAGNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NH 3485M) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NH 3485M) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |