Individual
KIMBERLY DANIELLE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, OTA, BT
Contact information
Practice address
618 VILLAGE DR, VIRGINIA BEACH, VA 23454-4250
(757) 221-1315
Mailing address
618 VILLAGE DR, VIRGINIA BEACH, VA 23454-4250
(757) 221-1315
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
225700000X
Massage Therapist
0019010960
VA
Other
Enumeration date
10/19/2019
Last updated
09/12/2024
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