Individual
KIMBERLY WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4390 BELLE OAKS DR, SUITE 120, NORTH CHARLESTON, SC 29405-8559
(866) 571-2700
Mailing address
4390 BELLE OAKS DR, SUITE 120, NORTH CHARLESTON, SC 29405-8559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5838
SC
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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