Individual
JACKLINE KIMATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2159 1/2 PENTLAND DR, BALTIMORE, MD 21234-7211
(443) 739-0731
Mailing address
2159 1/2 PENTLAND DR, BALTIMORE, MD 21234-7211
(443) 739-0731
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3816
MD
Other
Enumeration date
06/06/2015
Last updated
06/06/2015
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