Individual
KAITLIN HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
319 SMYRES PL, GREENSBORO, NC 27403-1229
(336) 271-6677
Mailing address
405 S MENDENHALL ST APT 2, GREENSBORO, NC 27403-2551
(607) 244-8529
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P18682
NC
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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