Individual
MS. JANA LEIGH KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10005
NC
225100000X
Physical Therapist
60091779
WA
Other
Enumeration date
03/12/2007
Last updated
10/18/2012
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