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1104990563
KATHRYN DIAN WOLLAM
CORAL SPRINGS, FL
NPI
1104990563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT4399)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
Mrs. KATHRYN DIAN WOLLAM P.T.
12132 NW 24TH ST
CORAL SPRINGS, FL 33065-3267
Phone number: 954-579-4056
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Mailing Address
Mrs. KATHRYN DIAN WOLLAM P.T.
12132 NW 24TH ST
CORAL SPRINGS, FL 33065-3267
Phone number: 954-579-4056
Copy
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