Individual
MRS. KIMBERLY EDWINA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 HOSPITAL DR, CRESTVIEW, FL 32539-7355
(850) 689-3146
Mailing address
1691 W HIGHWAY 98 APT 306, MARY ESTHER, FL 32569-1561
(828) 230-5481
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
29635
FL
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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