Individual
MRS. KATHERINE JANIS SCRUGGS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4750
(910) 450-3406
Mailing address
109 WILDA DR, JACKSONVILLE, NC 28546-4819
(910) 353-0788
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3069
NC
Other
Enumeration date
01/31/2006
Last updated
07/08/2007
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