Individual
KIMBERLY DIANE KOLODJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
217 LUCAS ST STE C, MOUNT PLEASANT, SC 29464-4381
(843) 628-2221
Mailing address
3024 FRASERBURGH WAY, MOUNT PLEASANT, SC 29466-9385
(816) 588-5008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6901
SC
Other
Enumeration date
10/28/2009
Last updated
11/14/2018
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