Individual
TRACIE LYNNE HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2060 BELLS HWY, WALTERBORO, SC 29488-6815
(843) 538-2055
Mailing address
8005 HENDERSON RD, SUMMERVILLE, SC 29483-5296
(703) 517-4377
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3671
SC
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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