Individual
AIMEE KIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14866 TAMIAMI TRL, SUITE A-204, NORTH PORT, FL 34287-2701
(941) 423-7705
Mailing address
2166 PENFIELD TER, NORTH PORT, FL 34288-6895
(941) 423-9760
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20722
FL
225200000X
Physical Therapy Assistant
PTA4671
MS
Other
Enumeration date
09/10/2012
Last updated
08/25/2014
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