Individual
MRS. KIMBERLY O BOYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
424 JOHN SMITH LN, BLUFFTON, SC 29910-5105
(843) 757-2412
Mailing address
424 JOHN SMITH LN, BLUFFTON, SC 29910-5105
(843) 757-2412
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
464
SC
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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