Individual
KIMBERLY L. COMPONATION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 428-3000
(256) 428-3003
Mailing address
7301 WOODMILL WAY NW, MADISON, AL 35757-7942
(256) 880-4915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH243
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508947839
GROUP NPI
AL
05
—
529-931220
—
AL
Enumeration date
08/05/2008
Last updated
03/02/2011
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