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Individual

MRS. KIMBERLY A BASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
8025 CREEDMOOR RD STE 200, RALEIGH, NC 27613-4483
(919) 846-1018
(919) 846-5958
Mailing address
PO BOX 611, STANTONSBURG, NC 27883-0611
(252) 238-3543

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2625
NC

Other

Enumeration date
04/21/2020
Last updated
04/21/2020
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