Kimberly Dawn Paul PTA

NPI 1770776940 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1770776940
Gender Female
Enumeration Date 08/21/2007
Last Updated 08/21/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
40 N 64TH ST
BELLEVILLE IL, 62223-3808, US
Phone (618) 397-8400
Business Location
40 N. 64TH ST
Phone (618) 397-8400
Taxonomy Code 225200000X
License State
License Number
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According to our database, Kimberly Dawn Paul PTA NPI is 1770776940, taxonomy code is 225200000X Kimberly Dawn Paul PTA physically located at 40 N 64th St, Belleville IL, 62223-3808. NPI Number Kimberly Dawn Paul PTA has the Individual type.

1770776940 NPI number is provided on an as is basis without warranty of any kind. 1770776940 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Dawn Paul PTA are for informational purposes only.