KIMBERLY A BASS

RALEIGH, NC
NPI1144840018
Former NameKIMBERLY A HAGEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  A2625)
Enumeration Date2020-04-21
Last Update Date2020-04-21
Business Address
Mrs. KIMBERLY A BASS LPTA
8025 CREEDMOOR RD STE 200
RALEIGH, NC 27613-4483
Phone number: 919-846-1018
Mailing Address
Mrs. KIMBERLY A BASS LPTA
PO BOX 611
STANTONSBURG, NC 27883-0611
Phone number: 252-238-3543
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