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Individual

MEGAN ELAINE CASTLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT, ATC

Contact information

Practice address
3851 COMMERCIAL CENTER DR, LADSON, SC 29456-4146
(843) 314-5434
Mailing address
3851 COMMERCIAL CENTER DR, LADSON, SC 29456-4146
(843) 314-5434

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9260
SC
2255A2300X
Athletic Trainer
2000022563
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TH3315
SC
Enumeration date
08/14/2018
Last updated
10/07/2021
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