Individual
GARY C. KIMBALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT, OCS
Contact information
Practice address
541 MAIN ST, SUITE 103, SOUTH WEYMOUTH, MA 02190-1868
(781) 331-9600
Mailing address
5 POWELL ST, PLYMOUTH, MA 02360-5245
(508) 747-2823
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6984
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0363731
—
MA
Enumeration date
08/24/2005
Last updated
07/08/2007
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