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NPI Code Detail

MEDICARE: MRS. DENISE KILBURN PT

MEDICARE: MRS. DENISE KILBURN PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT002549FL

General Provider Information

NPI Number : 1487752283
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DENISE KILBURN PT
Provider Business Mailing Address
First Line : 3119 NEW JERSEY RD
Second Line :
City : LAKELAND
State : FL
Zip : 33803-4264
Country : US
Telephone Number : 863-644-5755
Fax Number :
Provider Business Practice Location Address
First Line : 1215 E ORANGE ST
Second Line :
City : LAKELAND
State : FL
Zip : 33801-5762
Country : US
Telephone Number : 863-802-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. DENISE KILBURN PT” Practice Location

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