Individual
KIMBERLY REINE WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 W BROADWAY ST STE 214, OVIEDO, FL 32765-9262
(407) 359-5963
(407) 792-5693
Mailing address
774 BREAKAWAY TRL, TITUSVILLE, FL 32780-3270
(321) 749-9236
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30352
FL
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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