Individual
KIMBERLY LYNN STETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT0000006864
TN
Other
Enumeration date
12/11/2007
Last updated
10/09/2014
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