| NPI | 1568762839 |
|---|---|
| Former Name | KIMBERLY JILL FUHRMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2015027221) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2015-08-04 |