Phomsopha, Kimberly Dawn
Phomsopha, Kimberly Dawn is an sole proprietor health care provider with primary practice located at 44124 Woodridge Pkwy , Leesburg VA 20176-6935. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Phomsopha, Kimberly Dawn can be contacted via phone (703) 729-4870.Contact Information
Primary practice address
44124 Woodridge Pkwy
Leesburg VA 20176-6935
Phone: (703) 729-4870
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 2306603910 | Virginia |
Profile Details
| NPI number | 1619588167 |
|---|---|
| LBN Legal business name | Phomsopha, Kimberly Dawn |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2020 |
| Last updated | Aug 10th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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