Individual
KAITLYN MARIE KORUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, PTA
Contact information
Practice address
211 MAIN ST, OWEGO, NY 13827-1633
(607) 725-9644
Mailing address
2525 BOLLES HILL RD, APALACHIN, NY 13732-3420
(607) 651-8053
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
007013
NY
225200000X
Physical Therapy Assistant
Primary
TEI004095
PA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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