Kimberly Ann Brisco PT

NPI 1124102785 - Physical Therapist - 225100000X

NPI Details
NPI 1124102785
Gender Female
Enumeration Date 10/24/2006
Last Updated 12/05/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
KINGMAN AZ, 86409-3027, US
Phone (928) 757-1211
Fax (928) 757-8826
Business Location
KINGMAN AZ, 86409-3652, US
Phone (928) 757-1211
Fax (928) 757-8826
Taxonomy Code 225100000X
License State Arizona
License Number 5866
Remove 1124102785 NPI Number

According to our database, Mrs. Kimberly Ann Brisco PT NPI is 1124102785, taxonomy code is 225100000X and license number is 5866, license state is located at Arizona. Kimberly Ann Brisco PT physically located at 2120 Airway Avenue, Kingman AZ, 86409-3027. NPI Number Kimberly Ann Brisco PT has the Individual type.

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1124102785 NPI number is provided on an as is basis without warranty of any kind. 1124102785 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Ann Brisco PT are for informational purposes only.