Individual
KIMBERLY SUZANNE MACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 VERMONT CT UNIT 2, DOTHAN, AL 36305-4260
(334) 714-7015
Mailing address
104 VERMONT CT UNIT 2, DOTHAN, AL 36305-4260
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5104
AL
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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