NPI | 1619239746 |
---|---|
Former Name | KIMBERLY R DUQUAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT27387) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC PT13633) |
Enumeration Date | 2012-06-14 |
Last Update Date | 2024-04-25 |