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Individual

DEBBIE KIAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
5535 PARK ST N, ST PETERSBURG, FL 33709-6309
(727) 209-0579
Mailing address
14596 110TH TER, LARGO, FL 33774-4444
(777) 517-0670

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT 18109
LICENSE#
FL
Enumeration date
08/29/2006
Last updated
07/08/2007
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