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Individual

KIMMARCHELLO DENISE BAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
508 GLACIER CT, HAMPTON, GA 30228-3534
(770) 468-1115
Mailing address
508 GLACIER CT, HAMPTON, GA 30228-3534
(770) 468-1115
(678) 493-9464

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT007672
GA

Other

Enumeration date
07/04/2013
Last updated
04/26/2022
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