Individual
MRS. KIMBERLY SOPATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
5340 ROYALTON RD, NORTH ROYALTON, OH 44133-4008
(440) 230-1133
(440) 230-9243
Mailing address
5949 BRIDLE CT, MEDINA, OH 44256-6355
(440) 230-1133
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA05386
OH
Other
Enumeration date
07/28/2006
Last updated
02/05/2008
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