NPI | 1275607442 |
---|---|
Former Name | KIMBERLY K WILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05002357A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 4927) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2024-02-01 |