Individual
JACQUELINE SUZANNE EHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
319 53RD AVE N, NORTH MYRTLE BEACH, SC 29582-1327
(704) 984-3683
Mailing address
319 53RD AVE N, NORTH MYRTLE BEACH, SC 29582-1327
(704) 984-3683
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11058PT
SC
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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