Individual
MRS. KELLI YONGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-4372
Mailing address
3000 ST.MATHEWS ROAD, ORANGEBURG, SC 29118-1442
(803) 395-4372
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2517
SC
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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