Individual
KIMBERLY SUE FORRESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1411 W COUNTY LINE RD STE A, GREENWOOD, IN 46142-5250
(800) 486-4449
Mailing address
2510 OAK PARK CT, RICHMOND, IN 47374-1282
(765) 969-7844
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003812A
IN
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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