Individual
KIMBERLY ANN BANCALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC SLP
Contact information
Practice address
1350 EAST ARLINGTON BLVD STE. A, KINETIC PHYSICAL THERAPY AND WELLNESS, GREENVILLE, NC 27858
(252) 364-2806
Mailing address
408 E 2ND ST, WASHINGTON, NC 27889
(252) 216-6996
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10704
NC
Other
Enumeration date
05/16/2014
Last updated
08/15/2014
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