Most Relevant Information
Provider Data
| NPI Number: | 1003241167 |
| Provider Name: | KIMBERLY B. VIOLA DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT4084 |
Most Important Dates
| Enumeration Date: | 09/09/2013 |
| Last Updated: | 09/19/2023 |
Provider Practice Location
100 FODEN RD, WEST
STE 205
SOUTH PORTLAND
ME
041062327
Practice Location Phone/Fax
| Phone: | 2077808860 |
| Fax: |
Provider Mailing Location
100 GANNETT DR STE C
SOUTH PORTLAND
ME
041065900
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |