Individual
KATHLEEN MULL POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3402 WILMOT AVE, COLUMBIA, SC 29205-2727
(803) 553-5330
Mailing address
3402 WILMOT AVE, COLUMBIA, SC 29205-2727
(803) 553-5330
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5159
SC
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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