MRS. Kimberly Renee Willis, PT

NPI #1992990923 in Ridgeland, Mississippi

Provider Information

NPI Number
1992990923
Entity Type
Individual
Name
MRS. Kimberly Renee Willis, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Sep 12, 2007
Last Updated
Sep 12, 2007

Practice Location

Address
711 AVIGNON DR
ZIP Code
39157-5120
Phone
(601) 605-6777

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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