Individual
DR. STEPHANIE KIM NIERENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4034 SCHIRRA DR, JACKSONVILLE, FL 32277-1727
(904) 859-8103
Mailing address
4034 SCHIRRA DR, JACKSONVILLE, FL 32277-1727
(904) 859-8103
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
7173
SC
2251G0304X
Geriatric Physical Therapist
Primary
PT28524
FL
Other
Enumeration date
10/01/2013
Last updated
09/01/2021
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