Kim Viverette

NPI #1780032110 in Philadelphia, Mississippi

Provider Information

NPI Number: 1780032110
Entity Type: Individual
Name: Kim Viverette
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: May 26, 2016
Last Updated: May 26, 2016

Practice Location

Address: 1001 HOLLAND AVE
City: Philadelphia
State: Mississippi
ZIP Code: 39350-2161
Phone: (601) 663-1484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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