Individual
MRS. KAITLYN S PRIBYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
880 CAROLINA AVE, SUMTER, SC 29150-2815
(803) 606-5573
Mailing address
2364 FREEDOM BLVD APT C3, FLORENCE, SC 29505-6186
(906) 250-4868
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3828
SC
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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