Individual
KIMBERLY SUE KETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
625 OVERLOOK DR, WINTER HAVEN, FL 33884-1626
(863) 318-1315
(863) 326-9432
Mailing address
3828 SARRIA AVE, SEBRING, FL 33872-2300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19199
FL
Other
Enumeration date
03/14/2007
Last updated
09/07/2023
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