| NPI | 1275809816 |
|---|---|
| Former Name | KIMBERLY DEVAULT COLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN PTA0000004769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000128312) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |