Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 004019-1 | NY |
NPI | 1013307750 |
---|---|
Provider Name | Kimberly A Hayes |
First Address | Dansville, NY 14437-1738 |
Second Address | Dansville, NY 14437-1738 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2015 |
Last Update Date | 03/02/2015 |