Dr. Kimberly Nicole Wilson, PT, DPT
Physical Therapist in Santa Fe Springs, CA. Individual provider (NPI-1).
NPI number1013663426
StatusActive
Last updated in NPPESFeb 24, 2022
Details
- NPI
- 1013663426
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kimberly Nicole Wilson
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2022
- Certification date
- Sep 27, 2021
- Last updated
- Feb 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT300974 | CA | Yes |
Practice location
11627 Telegraph Rd Ste 105Santa Fe Springs, CA 90670-6800
Phone 562-948-4004
Mailing address
12235 Heritage Springs Dr Apt 201Santa Fe Springs, CA 90670-6928
Phone 650-796-9610
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All 12 Physical Therapist providers in Santa Fe Springs · All 1,517 providers in Santa Fe Springs
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