Individual
KIMBERLY NICOLE DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 527-6160
Mailing address
PO BOX 16194, BELLEMONT, AZ 86015
(928) 527-1059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5530
AZ
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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