Individual
KIMBERLY D DIDIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2010 CHESTNUT ST, VAN BUREN, AR 72956-5321
(479) 652-3086
Mailing address
2010 CHESTNUT ST, VAN BUREN, AR 72956-5321
(479) 459-0035
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4631
AR
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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