KYLIE LAVINE

Physical Therapist

Active Individual
NPI: 1417641010

Practice Address

200 SOUTHPARK BLVD STE 102
St Augustine, FL 32086

Phone: (774) 670-8023

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes PTT40277 (FL)

Frequently Asked Questions

NPI 1417641010 is the National Provider Identifier for KYLIE LAVINE, a Physical Therapist provider located in St Augustine, FL. This NPI was enumerated on June 6, 2023.
KYLIE LAVINE practices at 200 SOUTHPARK BLVD STE 102, St Augustine, FL 32086.

Quick Facts

NPI
1417641010
Type
Individual
Enumerated
Jun 6, 2023
Last Updated
Jun 6, 2023

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