Individual
KIMBERLY SPACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
514 SAINT JAMES AVE UNIT G, GOOSE CREEK, SC 29445
(843) 642-8660
Mailing address
800 CRESCENT CENTRE DR STE 300, FRANKLIN, TN 37067-7285
(615) 373-1350
(615) 221-9054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6019
SC
Other
Enumeration date
07/06/2010
Last updated
10/28/2019
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