Individual
KIMBERLY SUE VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9800 TOUCHTON RD APT 927, JACKSONVILLE, FL 32246-8218
(904) 437-8030
Mailing address
9800 TOUCHTON RD APT 927, JACKSONVILLE, FL 32246-8218
(904) 437-8030
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22978
FL
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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