Kimberly D Mcdougal, PT

NPI #1043325640 in Russellville, Arkansas

Provider Information

NPI Number: 1043325640
Entity Type: Individual
Name: Kimberly D Mcdougal, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 21, 2006
Last Updated: Jan 6, 2008

Practice Location

Address: 301 REASONER LN
City: Russellville
State: Arkansas
ZIP Code: 72802-2201
Phone: (479) 970-2175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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