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KIMBERLY BODNAR CASTLE PT, PHD, PCS

Pediatrics >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1508092644

Individual Registrant:
 KIMBERLY BODNAR CASTLE PT, PHD, PCS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1100 OLD DAWSON VILLAGE RD E STE 10  DAWSONVILLE, GA 30534-3807 US
Tel: 608-526-9888  Fax: 608-526-9865

Contact information for business:
1100 OLD DAWSON VILLAGE RD E STE 10  DAWSONVILLE, GA 30534-3807 US
Tel: 678-367-2382  Fax: 678-805-8452

Registration Information:
NPI: 1508092644
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Pediatrics
GAPT011273

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1508092644WI05
40146300WI05




HEALTH CARE JOBS GA - Page 1



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