Individual
KIMBERLY ELLEN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8733 W YULEE DR, HOMOSASSA, FL 34448-4222
(352) 464-8627
Mailing address
8527 N BRIARPATCH AVE, CRYSTAL RIVER, FL 34428-8610
(352) 201-1851
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26471
FL
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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