NPI | 1548220411 |
---|---|
Former Name | KIMBERLY E OBERPRILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 7679) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11431-24) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2011-08-12 |