Individual
MRS. KATHRYN NIKOLAOS KOULIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
700 N PALMETTO ST, LEESBURG, FL 34748-4419
(352) 323-5610
Mailing address
700 N PALMETTO ST, LEESBURG, FL 34748-4419
(352) 323-5610
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18884
FL
Other
Enumeration date
08/16/2006
Last updated
10/21/2010
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