Individual
MS. ANDREA DAWN KICKLIGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3127 US HIGHWAY 98 N, LAKELAND, FL 33805-2103
(863) 665-8881
(863) 665-8851
Mailing address
120 COUNTRY CLUB LN, MULBERRY, FL 33860-7629
(863) 665-8881
(863) 665-8851
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006300
FL
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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