Individual provider · NPI-1

Kim Marie Briden, P.T.

Contractor · Charlotte, NC

NPI number1568612240
StatusActive
Last updated in NPPESSep 30, 2008

Details

NPI
1568612240
Entity type
Individual (NPI-1)
Name
Kim Marie Briden
Credential
P.T.
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 30, 2008
Last updated
Sep 30, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor2395NCYes

Other names

  • Kim Marie Pagendarm (Former Name)

Practice location

13805 Appling Lane
Charlotte, NC 28278

Phone 704-504-8307 · Fax 704-504-8307

Mailing address

3724 National Drive
Suite 110
Raleigh, NC 27612

Phone 919-781-9565 · Fax 919-781-9564

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