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Individual

MRS. KATIE PROWELL ANGUISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1140 SHIPYARD BOULEVARD, WILMINGTON, NC 28412
(910) 799-4199
(910) 799-1616
Mailing address
1010 EAST BUTTERNUT COURT, WILMINGTON, NC 28409-4870
(910) 274-5221

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10514
NC

Other

Enumeration date
10/05/2006
Last updated
07/08/2007
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