NPI | 1649656356 |
---|---|
Former Name | KIMBERLY CHRISTINE THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11020) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012737) |
225100000X Physical Therapist (Licence: CO 19987) | |
225100000X Physical Therapist (Licence: MS PT5824) | |
Enumeration Date | 2015-08-04 |
Last Update Date | 2024-10-14 |