NPI | 1578667507 |
---|---|
Former Name | KIMBERLEE A SYLVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 61984) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00007728) |
Enumeration Date | 2006-09-11 |
Last Update Date | 2018-04-06 |