Kimora Maxwell
Kimora Maxwell is a Physical Therapy Assistant in Saint Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2024
Practice location Address checks out
1690 US Highway 1 S Ste FSaint Augustine, FL 32084-6024
Phone: (904) 634-0640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PTA33169 (FL) |
|---|
Record details
| NPI number | 1497508071 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 11, 2024 |
| Last updated in NPPES | April 11, 2024 |
| Certification date | April 11, 2024 |
| Mailing address | 1690 Us Highway 1 S Ste F, Saint Augustine, FL 32084-6024 |
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