Individual
MRS. KIMBERLY ANN MAVRONICLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 498-1098
Mailing address
3840 S COUNTY ROAD 475 E, HARDINSBURG, IN 47125-6532
(317) 498-1098
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003357A
IN
Other
Enumeration date
07/14/2008
Last updated
12/07/2023
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