MRS. Kimi Jensen Archer, MSPT

NPI #1982737086 in Bath, New York

Provider Information

NPI Number: 1982737086
Entity Type: Individual
Name: MRS. Kimi Jensen Archer, MSPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MSPT
Enumeration Date: Mar 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 7571 STATE ROUTE 54
Address 2: IRA DAVENPORT MEM. HOSPITAL, REHAB SERVICES DEPARTMENT
City: Bath
State: New York
ZIP Code: 14810-9504
Phone: (607) 776-8543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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