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Individual

KATRINA RENISE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
528 ARCOLA DR, COLUMBIA, SC 29223-5407
(803) 736-1759
(803) 736-0374
Mailing address
528 ARCOLA DR, COLUMBIA, SC 29223-5407
(803) 736-1759
(803) 736-0374

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1811
SC
225200000X
Physical Therapy Assistant
Primary
PTA8510
CA

Other

Enumeration date
02/13/2008
Last updated
02/16/2017
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