Individual
KIMBERLY KARI BORNITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
413 PEARL ST, YANKTON, SD 57078-4508
(605) 354-0245
Mailing address
413 PEARL ST, YANKTON, SD 57078-4508
(605) 354-0245
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0318
SD
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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