Doctor Name: | KIMBERLY PARKS |
NPI Number: | 1619392990 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2305208137 |
Business Practice Address: | 8020 River Stone Dr Fredericksburg, VA - 224078761 |
Business Phone Number: | 5408342500 |
Business Fax Number: | |
Mailing Address: | 245 Washington Dr, RUTHER GLEN |
State: | VA |
Postal Code: | 225465155 |
Phone Number: | 8458664339 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2014 |
NPI Last Update Date: | 02/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305208137 |
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 |