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Mr. JOHN MICHAEL KIMBRIEL -- LPTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1033267554
Provider Type
Individual Provider (NPI-1)
Credentials
LPTA
Status
Active

Contact & Location

Address
711 AVIGNON DR, RIDGELAND, MS, 391575120
Phone
(601) 605-6777
Fax
(601) 605-8869

Specialties & Taxonomies

Physical Therapy Assistant Primary License: MS #PTA2493

All Addresses

MAILING

138 ASHLEY DR

BRANDON, MS, 390422370

(601) 829-7012

LOCATION

711 AVIGNON DR

RIDGELAND, MS, 391575120

(601) 605-6777