Individual
KIMBERLY ROSE PRIESKORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1149 W MONROE RD, SAINT LOUIS, MI 48880-9736
(989) 681-0051
Mailing address
538 W KEITH RD, SANFORD, MI 48657-9317
(231) 740-8089
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002127
MI
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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