Kim R Minervini, PT

NPI #1275692824 in Ridgewood, New Jersey

Provider Information

NPI Number: 1275692824
Entity Type: Individual
Name: Kim R Minervini, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 8, 2006
Last Updated: Aug 29, 2013

Practice Location

Address: 104 CHESTNUT ST
City: Ridgewood
State: New Jersey
ZIP Code: 07450-2502
Phone: (201) 493-8111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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