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Individual

KIMBERLY LANE WILLIBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
906 WESENDONCK RD, BLAND, VA 24315-5509
(276) 620-0486
Mailing address
906 WESENDONCK RD, BLAND, VA 24315-5509
(276) 620-0486

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603770
VA

Other

Enumeration date
06/19/2024
Last updated
06/19/2024
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