Individual
KIMBERLY LYNN ENZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
255 59TH ST N, ST PETERSBURG, FL 33710-8539
(727) 345-2775
Mailing address
1751 NEEDLES LN W, LARGO, FL 33771-5306
(727) 536-4427
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 1482
FL
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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