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1861563967
KIMBERLY A IZZO
WOODSTOCK, GA
NPI
1861563967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: GA 005690)
Enumeration Date
2006-11-11
Last Update Date
2014-09-21
Business Address
-- KIMBERLY A IZZO P.T.
806 RIDGE CREEK LN
WOODSTOCK, GA 30189-6207
Phone number: 404-509-7986
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Mailing Address
-- KIMBERLY A IZZO P.T.
PO BOX 2848
ACWORTH, GA 30102-0015
Phone number: 404-509-7986
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