Individual
MRS. KRISTEN THAYER FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
1076 RIBAUT RD, STE 102, BEAUFORT, SC 29902-5476
(843) 521-1970
Mailing address
1076 RIBAUT RD, STE 102, BEAUFORT, SC 29902-5476
(843) 521-1970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5662
SC
2255A2300X
Athletic Trainer
897
SC
Other
Enumeration date
01/26/2008
Last updated
01/26/2008
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