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MRS. PATRICIA RAQUEL WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
401 N MAIN ST, SUITE B, HEMINGWAY, SC 29554-9191
(843) 558-4830
(843) 558-7752
Mailing address
401 N MAIN ST, SUITE B, HEMINGWAY, SC 29554-9191
(843) 558-4830
(843) 558-7752

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2311
SC

Other

Enumeration date
02/03/2009
Last updated
02/03/2009
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