Individual
JACKIE MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2250
(843) 777-2051
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2250
(843) 777-2051
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2413
SC
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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