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Individual

KIMBERLY K CHARLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
605 PERE MARQUETTE, HOWELL, MI 48855-6817
(517) 540-1926
Mailing address
5765 HICKORY RIDGE RD, HOLLY, MI 48442-8928
(810) 422-4280

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002665
MI

Other

Enumeration date
05/10/2022
Last updated
05/10/2022
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