Individual
KIMBERLY LYNN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
38250 A AVE, ZEPHYRHILLS, FL 33542-5759
(813) 782-5508
Mailing address
5707 HAWKPARK BLVD, LITHIA, FL 33547-5821
(801) 602-4087
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24342
FL
Other
Enumeration date
09/21/2017
Last updated
10/26/2023
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