| NPI | 1992877930 |
|---|---|
| Former Name | KIMBERLY JOY DEHNEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40055) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 1951) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2013-04-24 |