Individual provider · NPI-1

Kimberly M Thoman, A.T.C.

Specialist/Technologist, Athletic Trainer · Forest Hills, NY

NPI number1376709428
StatusActive
Last updated in NPPESJul 29, 2008

Details

NPI
1376709428
Entity type
Individual (NPI-1)
Name
Ms. Kimberly M Thoman
Credential
A.T.C.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 29, 2008
Last updated
Jul 29, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer001430NYYes

Practice location

7655 Austin St
Forest Hills, NY 11375-6948

Phone 718-897-2228 · Fax 718-897-2251

Mailing address

624 90th St
3c
Brooklyn, NY 11228-3543

Phone 631-848-0945

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