| NPI | 1396193801 |
|---|---|
| Former Name | KIMBERLY A WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 61717) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2018-10-29 |