| NPI | 1639623689 |
|---|---|
| Former Name | KIMBERLY HOVDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 5568-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7381) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2019-07-19 |