| NPI | 1730260936 |
|---|---|
| Former Name | KIMBERLY STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 04524) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT70017191) |
| 2251X0800X Physical Therapist Orthopedic (Licence: OR 4524) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2025-08-27 |