Individual
KIMBERLY JOELLE GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 688-4827
Mailing address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 688-4827
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8240
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412359
—
AZ
Enumeration date
09/29/2008
Last updated
05/09/2018
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