NPI | 1538372966 |
---|---|
Former Name | KIMBERLY ANN HOOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1291993) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT1235) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2018-10-12 |