Individual
KATEY LYNN KIMBRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
24549 BROKEN SOUND LOOP, ORANGE BEACH, AL 36561-4473
(256) 345-6990
Mailing address
24549 BROKEN SOUND LOOP, ORANGE BEACH, AL 36561-4473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5862
AL
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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