Provider Demographics
NPI:1013324201
Name:ABLE-BROWN, KYMBERLI TERRIEL (PT, DPT)
Entity type:Individual
Prefix:MISS
First Name:KYMBERLI
Middle Name:TERRIEL
Last Name:ABLE-BROWN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 SABAL BREEZE LN
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-6242
Mailing Address - Country:US
Mailing Address - Phone:321-200-4167
Mailing Address - Fax:
Practice Address - Street 1:920 SABAL BREEZE LN
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-6242
Practice Address - Country:US
Practice Address - Phone:321-200-4167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-19
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT31124225100000X
VA2305208662T225100000X
MSPT5629225100000X
NV3095225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist