Kimora Maxwell
NPI #1497508071 in Saint Augustine, Florida
Provider Information
- NPI Number
- 1497508071
- Entity Type
- Individual
- Name
- Kimora Maxwell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Apr 11, 2024
- Last Updated
- Apr 11, 2024
Practice Location
- Address
- 1690 US HIGHWAY 1 S STE F
- City
- Saint Augustine
- State
- Florida
- ZIP Code
- 32084-6024
- Phone
- (904) 634-0640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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