Individual
JEWEL KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 W WOODMEN RD, COLORADO SPRINGS, CO 80919-2726
(719) 219-0473
Mailing address
1130 W WOODMEN RD, COLORADO SPRINGS, CO 80919-2726
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012979
CO
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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