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Individual

KIMBERLY E TALBOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1000 E 1ST ST, SUITE 404, DULUTH, MN 55805-2297
(218) 722-5513
(218) 722-6515
Mailing address
1000 E 1ST ST, SUITE 404, DULUTH, MN 55805-2297
(800) 225-1321
(218) 722-6515

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11431-24
WI
225100000X
Physical Therapist
Primary
7679
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1548220411
WI
Enumeration date
03/24/2006
Last updated
08/12/2011
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