Individual
MRS. KIMBERLY KAE FANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6120 US HIGHWAY 27 N, SEBRING, FL 33870-1221
(863) 471-1223
(863) 471-2015
Mailing address
3602 DUFFER RD, SEBRING, FL 33872-1201
(863) 386-4809
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 1551
FL
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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