Individual
KIMBERLY HENSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 COBBLESTONE CT, MARTINSBURG, WV 25403-5073
(301) 606-2355
Mailing address
67 COBBLESTONE CT, MARTINSBURG, WV 25403-5073
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604044
VA
Other
Enumeration date
07/12/2015
Last updated
07/12/2015
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