Individual
KIMBER ANN MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(877) 807-8277
Mailing address
1514 LIBERTY TREE PL, JACKSONVILLE, FL 32221-1966
(386) 337-4882
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA33156
FL
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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