Individual
KAYSTEN SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 W GEORGIA RD STE 400, SIMPSONVILLE, SC 29680-6970
(864) 757-3053
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11486
SC
Other
Enumeration date
08/25/2022
Last updated
01/28/2025
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