| Doctor Name: | MRS. KIMBERLY GRACE BOKOWSKI |
| NPI Number: | 1861747859 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 070-003333 |
| Business Practice Address: | 4600 Frontage Rd Hillside, IL - 601621761 |
| Business Phone Number: | 7085449933 |
| Business Fax Number: | 7085444529 |
| Mailing Address: | 101 E State St, KENNETT SQUARE |
| State: | PA |
| Postal Code: | 193483109 |
| Phone Number: | 8007909946 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2012 |
| NPI Last Update Date: | 07/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070-003333 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |