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KIMBERLY ANN DACEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
29703 HOOVER RD STE A, WARREN, MI 48093-8901
(586) 582-0340
(586) 582-9540
Mailing address
29888 DONNA LN, CHESTERFIELD, MI 48047-5738
(586) 291-1067

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001405A
IN

Other

Enumeration date
09/09/2008
Last updated
09/09/2008
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