MRS. Kimberly Lynn Wainwright, PTA

NPI #1053682039 in Starke, Florida

Provider Information

NPI Number: 1053682039
Entity Type: Individual
Name: MRS. Kimberly Lynn Wainwright, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 23, 2012
Last Updated: Jan 23, 2012

Practice Location

Address: 8250 NW 193RD ST
City: Starke
State: Florida
ZIP Code: 32091-5845
Phone: (904) 964-8401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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