Individual
MISS KIMBERLY REA HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
803 OAK ST, GREEN COVE SPRINGS, FL 32043-4317
(904) 284-5606
Mailing address
1789 SHERATON LAKES CIR, MIDDLEBURG, FL 32068-4144
(850) 890-4833
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22709
FL
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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