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Kourtney Marie Kingsmore
Pediatric Physical Therapist in San Clemente, California
NPI 1144093477

Kourtney Marie Kingsmore is a Pediatric Physical Therapist based in Newport Beach, CA and is specialized in Pediatrics. Kourtney Marie Kingsmore practices in San Clemente, CA. The NPI Number for Kourtney Marie Kingsmore is 1144093477 and holds a License No. PT304051 (California).

The current practice location address for Kourtney Marie Kingsmore is 1000 Calle Amanecer, San Clemente, CA and can be reached out via phone at 949-498-5100.

Location: 1000 Calle Amanecer, San Clemente, CA, 92662-4802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144093477
Provider Name
Kourtney Marie Kingsmore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1000 Calle Amanecer, San Clemente, CA, 92662-4802
Phone Number
949-498-5100
Fax Number
Provider Enumeration Date
10/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Calle Amanecer
City
San Clemente
State
California
Zip
92673-6214
Phone Number
949-498-5100
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Calle Amanecer
City
San Clemente
State
California
Zip
92673-6214
Phone Number
949-498-5100
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT304051 (California)
Definition
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 therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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