| NPI | 1770559940 |
|---|---|
| Former Name | KIMBERLY LYNN BEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK PT3690) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT1490) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-08 |