Kimberly Bernice Colson-Nugent, PTA

NPI #1316385073 in Kennett Square, Pennsylvania

Provider Information

NPI Number: 1316385073
Entity Type: Individual
Name: Kimberly Bernice Colson-Nugent, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: PTA
Enumeration Date: Jun 4, 2013
Last Updated: Jun 4, 2013

Practice Location

Address: 600 S BROAD ST
City: Kennett Square
State: Pennsylvania
ZIP Code: 19348-3346
Phone: (215) 863-1598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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