Doctor Name: | MISS KIMBERLY M SERRA |
NPI Number: | 1790858199 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT, MTC, CSCS |
License Number: | |
Business Practice Address: | 60 Bay Spring Ave A2 Barrington, RI - 028061384 |
Business Phone Number: | 4012892553 |
Business Fax Number: | 4012892883 |
Mailing Address: | 60 Bay Spring Ave, Unit A2 BARRINGTON |
State: | RI |
Postal Code: | 028061385 |
Phone Number: | 4012892553 |
Fax Number: | 4012892883 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 06/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |