Individual
KIMBERLY STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4409 E WEST HWY, RIVERDALE, MD 20737-1058
(301) 699-2000
Mailing address
3206 CURTIS DR, APT 206, TEMPLE HILLS, MD 20748-1246
(301) 894-2580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18544
MD
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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