Individual
ANN KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
127 MURRAH DR, ROCK HILL, SC 29732-2342
(410) 581-3830
Mailing address
68 14TH ST SE, HICKORY, NC 28602-1301
(828) 261-0973
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
792
SC
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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