KIMBERLY ROSE ENNIS

FAYETTEVILLE, AR
NPI1376890053
Former NameKIMBERLY ROSE WAGNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2251X0800X Physical Therapist Orthopedic
(Licence: TX  1221670)
Enumeration Date2012-08-13
Last Update Date2016-02-12
Business Address
KIMBERLY ROSE ENNIS PT, DPT
3317 N WIMBERLY DR 2ND FLOOR
FAYETTEVILLE, AR 72703-4056
Phone number: 479-587-3117
Mailing Address
KIMBERLY ROSE ENNIS PT, DPT
3317 N WIMBERLY DR 2ND FLOOR
FAYETTEVILLE, AR 72703-4056
Phone number: 479-587-3117