Individual
KIM DIMALANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
805 19TH AVE SE, ALBANY, OR 97322-4225
(805) 612-7788
Mailing address
3765 CALLE CLARA VIS, NEWBURY PARK, CA 91320-1912
(805) 612-7788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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