Individual
MRS. KIMBERLY ANN PARKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
22891 PLAINVIEW CIR, LAKE FOREST, CA 92630-2973
(949) 705-7695
Mailing address
22891 PLAINVIEW CIR, LAKE FOREST, CA 92630-2973
(949) 705-7695
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT29958
CA
2251S0007X
Sports Physical Therapist
PT29958
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT29958
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT29958
PT LICENSE
CA
Enumeration date
04/04/2007
Last updated
12/19/2022
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