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Individual

KAYLEE NELSON JANUSKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
70 LINDSEY LN, SAINT MARYS, GA 31558-1635
(912) 510-6104
(912) 882-6137
Mailing address
70 LINDSEY LN, SAINT MARYS, GA 31558-1635
(912) 510-6104
(912) 882-6137

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT29696
FL
2251P0200X
Pediatric Physical Therapist
Primary
PT011894
GA

Other

Enumeration date
09/19/2014
Last updated
10/15/2018
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