Individual
MRS. KIMBERLY PATRICIA SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA #19846
Contact information
Practice address
6513 NW 43RD CT, CORAL SPRINGS, FL 33067-3015
(954) 243-6224
Mailing address
6513 NW 43RD CT, CORAL SPRINGS, FL 33067-3015
(954) 243-6224
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
19846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19846
PTA
FL
Enumeration date
10/01/2013
Last updated
10/01/2013
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