Kimberly Michelle Libertino

NPI 1700107059 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1700107059
Gender Female
Enumeration Date 06/21/2010
Last Updated 06/21/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
150 N ROSENBERGER AVE
EVANSVILLE IN, 47712-6503, US
Phone (812) 491-3856
Fax
Business Location
150 N ROSENBERGER AVE
EVANSVILLE IN, 47712-6503, US
Phone (812) 491-3856
Fax
Toxanomy
Taxonomy Code 225200000X
License State Indiana
License Number 99042546A
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According to our database, Kimberly Michelle Libertino NPI is 1700107059, taxonomy code is 225200000X and license number is 99042546A, license state is located at Indiana. Kimberly Michelle Libertino physically located at 150 N Rosenberger Ave, Evansville IN, 47712-6503. NPI Number Kimberly Michelle Libertino has the Individual type.

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1700107059 NPI number is provided on an as is basis without warranty of any kind. 1700107059 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Michelle Libertino are for informational purposes only.