Individual
MRS. KIMBERLY SUE DENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1326 CHURCH ST, ZACHARY, LA 70791-2743
(225) 654-8208
(225) 654-4642
Mailing address
1326 CHURCH ST, ZACHARY, LA 70791-2743
(225) 654-8208
(225) 654-4642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10203R
LA
225100000X
Physical Therapist
Primary
PT0006420
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10203R
PT LICENSE
LA
Enumeration date
09/20/2007
Last updated
02/19/2020
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