| NPI | 1487764197 |
|---|---|
| Other Name | KIMBERLY PREVITI DUBOIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3159) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NH 3159) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |