| Doctor Name: | KARYN LONGO CONGDON |
| NPI Number: | 1053509182 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 3153 |
| Business Practice Address: | 3515 Caduceus Dr Ste A Myrtle Beach, SC - 295882922 |
| Business Phone Number: | 8432937085 |
| Business Fax Number: | |
| Mailing Address: | Po Box 421718, GEORGETOWN |
| State: | SC |
| Postal Code: | 294424203 |
| Phone Number: | 8432937085 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2007 |
| NPI Last Update Date: | 10/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 3153 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |