Individual
JOLENE SHARILYN SELWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3620 HAPPY WOODS CT, MYRTLE BEACH, SC 29588-2925
(843) 293-2246
(843) 293-2247
Mailing address
3620 HAPPY WOODS CT, MYRTLE BEACH, SC 29588-2925
(843) 293-2246
(843) 293-2247
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2373
SC
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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