Individual
MR. ALLEN Y KIMBLE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10395 NARCOOSSEE RD, STE E, ORLANDO, FL 32832-6939
(407) 730-3244
(407) 730-3246
Mailing address
3216 WATERBRIDGE CT, KISSIMMEE, FL 34744-9241
(407) 892-8823
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 24215
FL
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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