Organization
KIMBERLY CARROLL PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MICHELLE CARROLL DPT, ATC, CERT. DN (OWNER/PT)
(904) 583-2936
Entity
Organization
Contact information
Practice address
120 N 2ND ST, FERNANDINA BEACH, FL 32034-4191
(904) 761-8397
Mailing address
2657 AMELIA RD, FERNANDINA BEACH, FL 32034-9112
(904) 583-2936
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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