Individual
MRS. KIMBERLY ANNE CRADLEBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
16356 OAK HILL DR, FENTON, MI 48430-9091
(810) 394-2064
Mailing address
16356 OAK HILL DR, FENTON, MI 48430-9091
(810) 394-2064
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000502
MI
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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