Individual
MRS. KIMBERLY ANNE MIGUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2410 EVERGREEN RD STE 100, GAMBRILLS, MD 21054-1979
(410) 451-8150
(410) 451-8151
Mailing address
8039 ASHVILLE CT, SEVERN, MD 21144-2657
(631) 793-4411
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
022294-1
NY
225100000X
Physical Therapist
Primary
27985
MD
Other
Enumeration date
02/14/2007
Last updated
10/27/2023
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