Individual
KIMBERLY RENEA DOCKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
377 CLONCE ST, WEBER CITY, VA 24290-7269
(276) 243-4020
(276) 386-2597
Mailing address
PO BOX 96, CASTLEWOOD, VA 24224-0096
(276) 609-1995
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602709
VA
Other
Enumeration date
11/02/2017
Last updated
03/17/2018
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