NPI | 1760733356 |
---|---|
Former Name | KIMBERLY LARUE KWAN ASATO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40045) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1221081) |
Enumeration Date | 2012-09-24 |
Last Update Date | 2015-03-10 |