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Individual

KAREN KEENE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
1274 CORNWALLIS RD, CHARLESTON, SC 29412-9204
(843) 830-5979

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3951
SC

Other

Enumeration date
04/28/2022
Last updated
04/28/2022
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