Individual
KIMBERLY HERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9310 GARIS SHOP RD, HAGERSTOWN, MD 21740-1740
(240) 818-5707
Mailing address
9310 GARIS SHOP RD, HAGERSTOWN, MD 21740-1740
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2443
MD
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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