Individual
MRS. KIMBERLY RUTH SPENCER PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8725 DIGITAL DR, APT 302, CHARLOTTE, NC 28262-4384
(813) 404-7454
Mailing address
8725 DIGITAL DR, APT 302, CHARLOTTE, NC 28262-4384
(813) 404-7454
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5141
NC
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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