Individual
THERESA MULDOON KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1236 JANUS ST, SPRINGFIELD, OR 97477-3592
(541) 747-1415
(541) 747-1415
Mailing address
1236 JANUS ST, SPRINGFIELD, OR 97477-3592
(541) 747-1415
(541) 747-1415
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1987
OR
Other
Enumeration date
07/19/2005
Last updated
07/08/2007
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