Individual
KIMBERLY I GOLDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
555 N NEW BALLAS RD, SUITE 225, SAINT LOUIS, MO 63141-6825
(314) 997-8700
(314) 997-8799
Mailing address
555 N NEW BALLAS RD, SUITE 225, SAINT LOUIS, MO 63141-6825
(314) 997-8700
(314) 997-8799
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
111981
MO
Other
Enumeration date
06/10/2009
Last updated
08/20/2009
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