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Individual

MARY KATHRYN WHITWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
120 CYPRESS EDGE DR, PALM COAST, FL 32164-8453
(386) 586-1670
Mailing address
PO BOX 511, MC INTOSH, FL 32664-0511

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
176058
FL

Other

Enumeration date
06/15/2022
Last updated
06/15/2022
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