Individual
BRENDA KIMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 N UPPER BROADWAY ST, CORPUS CHRISTI, TX 78401-2756
(877) 787-3422
Mailing address
13845 LONGBOAT DR, CORPUS CHRISTI, TX 78418-6142
(630) 479-4197
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2095590
TX
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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