Individual
KIMBERLY GANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
235 W LANCASTER AVE, DEVON, PA 19333-1560
(610) 688-8080
Mailing address
258 WESTPARK LN, CLIFTON HEIGHTS, PA 19018-1121
(610) 626-3783
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE002954L
PA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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