Individual
KAREN LATULIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2310 US-378 WRIGHT BLVD, CONWAY, SC 29527-2952
(843) 397-1010
Mailing address
2416 HAYSEED WAY, MYRTLE BEACH, SC 29579-3220
(845) 542-5490
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
SC
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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