Individual
PATRICK VINCENT FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4736 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29588-5616
(843) 444-9355
(843) 294-0019
Mailing address
189 OSPREY COVE LOOP, MYRTLE BEACH, SC 29588-6565
(717) 587-8625
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8064
SC
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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