Kinetic Image Corp
NPI #1205251915 in Saint Johns, Florida
Provider Information
- NPI Number
- 1205251915
- Entity Type
- Organization
- Organization Name
- Kinetic Image Corp
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Mar 4, 2014
- Last Updated
- Mar 4, 2014
Practice Location
- Address
- 1307 WHISPERING PINES RD
- City
- Saint Johns
- State
- Florida
- ZIP Code
- 32259-9186
- Phone
- (904) 635-4638
Authorized Official
- Name
- KELLY INGRAM-MITCHELL, MPT
- Title
- PRESIDENT
- Phone
- (904) 635-4638
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Physical Therapist |
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