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Individual
MRS. KIMBERLY A STRONG
Active
Individual
MRS. KIMBERLY A STRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
030842
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00313539
—
NY
05
—
01815443
—
NY
01
—
AA0171
MCR GRP # FITNESS FORUM PT
NY
01
—
AA0172
MCR GRP FITNESS FORUM PT
NY
Enumeration date
11/06/2008
Last updated
02/18/2013
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