Individual
BIIKO L KABOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5827 HIGHWAY 90, MILTON, FL 32583-1763
(850) 983-8973
Mailing address
680 PINEBROOK CIR, CANTONMENT, FL 32533-5621
(850) 377-1527
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29779
FL
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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