Individual
KATELYN ELIZABETH LUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9285 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9126
(843) 797-8282
Mailing address
227 GODWIT DR, SUMMERVILLE, SC 29486-5404
(843) 425-3903
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7012
SC
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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