Individual
MRS. KIMBERLY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
305 E OAK STREET, APOPKA, FL 32703
(321) 256-3051
Mailing address
3442 MALLAIG COURT, APOPKA, FL 32712
(407) 339-7767
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA14232
FL
Other
Enumeration date
09/03/2017
Last updated
09/03/2017
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