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1457961187
KATELYN NICOLE WILSON
HILTON HEAD ISLAND, SC
NPI
1457961187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 4048)
Enumeration Date
2020-08-06
Last Update Date
2020-08-06
Business Address
KATELYN NICOLE WILSON PTA
460 WILLIAM HILTON PKWY STE B
HILTON HEAD ISLAND, SC 29926-2498
Phone number: 843-277-0270
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Mailing Address
KATELYN NICOLE WILSON PTA
12 BRINDLEWOOD DR
BEAUFORT, SC 29907-2665
Phone number: 717-576-6388
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