Individual provider · Type 1 NPI

Kourtney Marie Kingsmore

Pediatric Physical Therapist · San Clemente, CA

NPI number 1144093477 Active

Practice location

1000 Calle Amanecer
San Clemente, CA 92673-6214

Call (949) 498-5100 Map

Mailing address

206 1/2 Ruby Ave
Newport Beach, CA 92662-4802

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT304051 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1144093477

Kourtney Marie Kingsmore's National Provider Identifier is 1144093477, issued on Oct 30, 2023. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in San Clemente, CA. The record was last updated on Oct 30, 2023.