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Individual

MRS. KIMBERLY ANN LIVINGSTON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1061 HARMON AVE.STE 1D03, FORT STEWART, GA 31314-5611
(912) 435-6589
(912) 435-6181
Mailing address
1061 HARMON AVE.STE 1D03, FORT STEWART, GA 31314-5611
(912) 435-6589
(912) 435-6181

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
005658
GA

Other

Enumeration date
10/24/2005
Last updated
07/08/2007
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