Karyn Longo Congdon
Physical Therapist - Pediatrics
3515 Caduceus Dr Ste A
Myrtle Beach
, South Carolina 29588-2922
Karyn Longo Congdon
Physical Therapist - Pediatrics
3515 Caduceus Dr Ste A
Myrtle Beach
, South Carolina 29588-2922
(843) 293-7085
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Karyn Longo Congdon
- Po Box 421718
- Georgetown, SC
- Zip : 29442-4203
- Phone : (843) 293-7085
Second Address
- Karyn Longo Congdon
- 3515 Caduceus Dr Ste A
- Myrtle Beach, SC
- Zip : 29588-2922
- Phone : (843) 293-7085
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 3153 | SC |
National Provider Identifier
| NPI | 1053509182 |
|---|---|
| Provider Name | Karyn Longo Congdon |
| First Address | Georgetown, SC 29442-4203 |
| Second Address | Myrtle Beach, SC 29588-2922 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/10/2007 |
| Last Update Date | 15/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3153 | LICENSE (01) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.