| Doctor Name: | MS. KIMBERLEE BICKERTON |
| NPI Number: | 1063576585 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 26382 |
| Business Practice Address: | 150 Sierra St El Segundo, CA - 902454117 |
| Business Phone Number: | 3104269406 |
| Business Fax Number: | |
| Mailing Address: | 4071 Lafayette Pl Apt 4, CULVER CITY |
| State: | CA |
| Postal Code: | 902322833 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 26382 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |