Individual
KIMBERLY DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 EPPS BRIDGE RD, ATHENS, GA 30606-3312
(706) 549-5382
Mailing address
1221 CLUBHOUSE LN, STATHAM, GA 30666-2617
(706) 338-2433
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007963
GA
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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