Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 32752 | CA |
NPI | 1124329826 |
---|---|
Provider Name | Kimberley Antose Bell |
First Address | La Jolla, CA 92037-5917 |
Second Address | La Jolla, CA 92037-5917 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2010 |
Last Update Date | 11/11/2010 |