| NPI | 1649767567 |
|---|---|
| Former Name | REBECCA C KINGSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3954) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OR 61499) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NH 3954) | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2019-11-20 |