Individual
MRS. KATIE M SEYMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2601A DEMERE RD, ST SIMONS ISLAND, GA 31522-1614
(912) 634-9945
(912) 638-1584
Mailing address
PO BOX 20281, ST SIMONS ISLAND, GA 31522-8281
(716) 361-6536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007583
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT007583
THERAPIST LICENSE NUMBER
GA
Enumeration date
03/26/2007
Last updated
06/10/2009
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