Individual
KIM ELAINE BERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RKT
Contact information
Practice address
1300 B. B. DOWNS BLVD., TAMPA, FL 33612
(813) 972-2000
Mailing address
4901 HI VISTA CIR, TAMPA, FL 33625-6604
(813) 972-2000
(813) 978-5968
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
755
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
755
NATIONAL REGISTRATION
—
Enumeration date
07/03/2006
Last updated
07/08/2007
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