Individual
MRS. SUZANNE Y WINGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
119 OFFICE PARK DR, ORANGEBURG, SC 29118-2407
(803) 536-5509
Mailing address
511 OXFORD COURT, LEXINGTON, SC 29072
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1467
SC
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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