Individual
KAYLYN HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2109 N PATTERSON ST, SUITE #A, VALDOSTA, GA 31602-2990
(229) 247-5225
Mailing address
PO BOX 243, ARLINGTON, GA 39813-0243
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003756
GA
Other
Enumeration date
01/29/2017
Last updated
01/29/2017
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