Doctor Name: | MS. KIMBERLY A POLK |
NPI Number: | 1134234743 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPT |
License Number: | 003722 |
Business Practice Address: | 4201 Lake Boone Trl Suite 004 Raleigh, NC - 276077512 |
Business Phone Number: | 9197814434 |
Business Fax Number: | |
Mailing Address: | 4201 Lake Boone Trl, Suite 004 RALEIGH |
State: | NC |
Postal Code: | 276077512 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 08/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 003722 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |