Individual
SPRING KIMBERLY WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4119
(601) 426-4768
Mailing address
105 ADA D DR, OVETT, MS 39464-3754
(601) 428-2271
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT2947
MS
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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