Individual
MRS. KATIE IRENE PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4748 OLD SALISBURY RD, LEXINGTON, NC 27295-7827
(336) 956-1132
Mailing address
1537 STYERS MILL RD, YADKINVILLE, NC 27055-8125
(336) 961-2749
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P10466
NC
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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