Doctor Name: | KIMBERLY MICHELLE DEMOURA |
NPI Number: | 1376818260 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 7261 |
Business Practice Address: | 2014 Bees Ferry Rd Charleston, SC - 294146603 |
Business Phone Number: | 8438496707 |
Business Fax Number: | |
Mailing Address: | 1881 Halo Ln, CHARLESTON |
State: | SC |
Postal Code: | 294076826 |
Phone Number: | 9082468845 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2012 |
NPI Last Update Date: | 07/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7261 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |