Individual
MRS. KIMBERLY EVERIL HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8481 HOLLY RD, GRAND BLANC, MI 48439-1812
(810) 694-1711
Mailing address
23206 THORNRIDGE DR, GRAND BLANC, MI 48439-9272
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002959
MI
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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