| Doctor Name: | MISS JENNIFER CHRISTINE KIMBALL |
| NPI Number: | 1457453128 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 32434 |
| Business Practice Address: | 19845 Lake Chabot Rd Suite 205 Castro Valley, CA - 945464055 |
| Business Phone Number: | 5105389558 |
| Business Fax Number: | 5105387017 |
| Mailing Address: | 3933 Fruitvale Ave, OAKLAND |
| State: | CA |
| Postal Code: | 946022423 |
| Phone Number: | 5105316956 |
| Fax Number: | |
| NPI Enumeration Date: | 09/02/2006 |
| NPI Last Update Date: | 08/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 32434 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |