KIMBERLY RENEE WILLIS

RIDGELAND, MS
NPI1992990923
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT1719)
Enumeration Date2007-09-12
Last Update Date2007-09-12
Business Address
Mrs. KIMBERLY RENEE WILLIS PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
Mrs. KIMBERLY RENEE WILLIS PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777