Individual
KERRY MIMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1015 18TH ST NW STE 400, WASHINGTON, DC 20036-5209
(202) 827-8317
(202) 659-8724
Mailing address
1015 18TH ST NW STE 400, WASHINGTON, DC 20036-5209
(202) 827-8317
(202) 659-8724
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305202775
VA
225100000X
Physical Therapist
Primary
870098
DC
Other
Enumeration date
02/28/2006
Last updated
02/28/2024
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