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Individual

KATIE OLINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
3302 ROBERT M GRISSOM PKWY, MYRTLE BEACH, SC 29577-6401
(843) 445-2051
Mailing address
3827 MAYPOP CIR, UNIT 317, MYRTLE BEACH, SC 29588-1407
(732) 778-2153

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2011
SC
2255A2300X
Athletic Trainer
25MT00214300
NJ

Other

Enumeration date
01/18/2017
Last updated
01/18/2017
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