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Individual

KAITLIN ANN YOUNGBLOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
230 BEISER BLVD, SUITE 103, DOVER, DE 19904-7793
(302) 674-4375
Mailing address
230 BEISER BLVD, SUITE 103, DOVER, DE 19904-7793
(302) 674-4375

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0003036
DE
225100000X
Physical Therapist
PTL.0012345
CO

Other

Enumeration date
09/12/2013
Last updated
01/07/2014
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