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NPI Code Detail

MEDICARE: KIMURA CONSULTING, LLC

MEDICARE: KIMURA CONSULTING, LLC
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
1261QP2000XPhysical Therapy Clinic/CenterDAPT004046PA
2261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1710467436
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIMURA CONSULTING, LLC
Provider Business Mailing Address
First Line : 304 COLUMBUS DR
Second Line :
City : ARCHBALD
State : PA
Zip : 18403-1542
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 304 COLUMBUS DR
Second Line :
City : ARCHBALD
State : PA
Zip : 18403-1542
Country : US
Telephone Number : 570-561-5384
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. JOSHUA PRALL
Credential : DPT
Telephone Number : 570-561-5384
Provider Enumeration Date : 08/21/2018
Last Update Date : 08/21/2018

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Directions to “KIMURA CONSULTING, LLC ” Practice Location

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