| NPI | 1538574124 |
|---|---|
| Former Name | KIMBERLY GOULD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT014822) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208776) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-10-24 |