Individual
KIMBERLY ANN ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
761 FREEDOM PLAINS RD, POUGHKEEPSIE, NY 12603-6356
(845) 471-2423
Mailing address
852 FREEDOM PLAINS RD, POUGHKEEPSIE, NY 12603-6359
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
66-111206-01
NY
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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