| NPI | 1972501641 |
|---|---|
| Former Name | KIMBERLY J QUEZON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 9934) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05004104-A) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2021-05-24 |