Individual
CHITRA GIDWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W FARLEY AVE, LAURENS, SC 29360-3039
(864) 984-9844
Mailing address
203 SILVER FALLS DR, SIMPSONVILLE, SC 29681-7152
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4362
SC
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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