Individual
MISS SHAKEILA JANAIEA TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 AUSTIN GRAYBILL RD, NORTH AUGUSTA, SC 29860-9251
(803) 278-4272
Mailing address
350 AUSTIN GRAYBILL RD, NORTH AUGUSTA, SC 29860-9251
(803) 278-4272
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2275
SC
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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