Doctor Name: | MRS. KIMBERLY DAWN KOTHE |
NPI Number: | 1427179589 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 2305004593 |
Business Practice Address: | 10124 West Broad St., Suite O Glen Allen, VA - 230603330 |
Business Phone Number: | 8662034365 |
Business Fax Number: | 8662045425 |
Mailing Address: | 9111 Atlee Lake Ct., MECHANICSVILLE |
State: | VA |
Postal Code: | 231162871 |
Phone Number: | 8047899630 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305004593 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |