Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner |
NPI | 1023479235 |
---|---|
Provider Name | Kimberly Robman |
First Address | Los Angeles, CA 90020-1912 |
Second Address | Los Angeles, CA 90020-1912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2016 |
Last Update Date | 03/10/2016 |