Individual
KIMBERLY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N BROADWAY ST, GREEN SPRINGS, OH 44836-9653
(330) 323-3358
Mailing address
6067 STATE ROUTE 4, BLOOMVILLE, OH 44818-9345
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08520
OH
Other
Enumeration date
12/14/2013
Last updated
12/14/2013
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