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1568719169
KIMBERLY BERTELSON
CORDELE, GA
NPI
1568719169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA ga000525)
Enumeration Date
2012-08-14
Last Update Date
2012-08-14
Business Address
-- KIMBERLY BERTELSON PTA
1107 GREER STREET SUITE B
CORDELE, GA 31015
Phone number: 229-273-9445
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Mailing Address
-- KIMBERLY BERTELSON PTA
104 APPALOOSA WAY
CORDELE, GA 31015
Phone number: 229-938-1010
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