Individual
KIMBERLY MARMOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6444 TRADING SQ, HAYMARKET, VA 20169-2277
(571) 885-4616
Mailing address
PO BOX 69020, BALTIMORE, MD 21264-2451
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211243
VA
Other
Enumeration date
08/25/2014
Last updated
07/19/2017
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