Individual
KRISTIN COURTNEY TASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2050 CORPORATE CENTRE DR, MYRTLE BEACH, SC 29577-7428
(843) 443-9368
(843) 916-2348
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
(843) 443-9368
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4889
SC
Other
Enumeration date
05/11/2006
Last updated
11/03/2024
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