Individual
KATY LYNN MULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
125 EDINBURGH SOUTH DR STE 106, CARY, NC 27511-6484
(919) 785-9356
Mailing address
60 RODNEY CT, WILLOW SPRING, NC 27592-8512
(909) 735-1887
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7476
NC
Other
Enumeration date
06/22/2021
Last updated
06/23/2021
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