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KIMBERLY COLEY P.T.A.

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1871965434

Individual Registrant:
 KIMBERLY  COLEY P.T.A.
Gender: F
Sole Proprietor

Location and contact information for practice:
500 SPANISH FORT BLVD  SPANISH FORT, AL 36527-5018 US
Tel: 251-626-2900  Fax: --

Contact information for business:
PO BOX 7315  SPANISH FORT, AL 36577-7315 US
Tel: 251-366-9722  Fax: --

Registration Information:
NPI: 1871965434
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
ALPTA3874

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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