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Individual
KAYLYN VAILLANCOURT
Active
Individual
KAYLYN VAILLANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
050983-01
NY
225100000X
Physical Therapist
12778
SC
225100000X
Physical Therapist
Primary
P22702
NC
Other
Enumeration date
11/13/2023
Last updated
11/03/2025
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