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Individual

KIMBERLY A KRUPACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
400 ADAMS ST UNIT B, VIDALIA, GA 30474-4817
(478) 254-0636
Mailing address
24 CHAPMAN LN, LOCK HAVEN, PA 17745-8389
(570) 660-4184

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PA
2251P0200X
Pediatric Physical Therapist
Primary
PT015837
GA

Other

Enumeration date
04/11/2019
Last updated
04/25/2022
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