Individual
MS. KIMBERLY M THOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
7655 AUSTIN ST, FOREST HILLS, NY 11375-6948
(718) 897-2228
(718) 897-2251
Mailing address
624 90TH ST, 3C, BROOKLYN, NY 11228-3543
(631) 848-0945
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001430
NY
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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