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Individual

KIMBERLY MICHELLE FRIEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
3131 WALNUT ST APT 643, PHILADELPHIA, PA 19104-3429
(281) 705-2492
Mailing address
3131 WALNUT ST APT 643, PHILADELPHIA, PA 19104-3429
(281) 705-2492

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
003153
OH
2255A2300X
Athletic Trainer
Primary
RT006006
PA

Other

Enumeration date
05/07/2010
Last updated
10/10/2014
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