NPI | 1285076943 |
---|---|
Former Name | KIMBERLY J KNERZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12342) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-019932) |
Enumeration Date | 2013-07-23 |
Last Update Date | 2023-06-22 |