Individual
KAITLYN APOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1289 OLIVER ST, FAYETTEVILLE, NC 28304-7294
(910) 483-8331
Mailing address
PO BOX 87294, FAYETTEVILLE, NC 28304-7294
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15432
NC
2251P0200X
Pediatric Physical Therapist
15432
NC
Other
Enumeration date
03/24/2015
Last updated
03/26/2015
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