Individual
KIMBERLY DAWN MUMAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2900 12TH ST N, NAPLES, FL 34103-4528
(239) 261-2554
Mailing address
10191 REGENT CIR, NAPLES, FL 34109-1593
(614) 302-4111
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-24749
FL
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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