Individual
KIMBERLY DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4812 BLUFFTON PKWY, BLUFFTON, SC 29910-4602
(843) 258-3366
Mailing address
4812 BLUFFTON PKWY, BLUFFTON, SC 29910-4602
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.5112
SC
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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