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Individual

MRS. JOANNA DELORIS JAMES-OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1118 BOUNDARY ST, APT 15, CONWAY, SC 29526-3356
(843) 340-3068
Mailing address
1118 BOUNDARY ST, APT 15, CONWAY, SC 29526-3356
(843) 340-3068

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
003069
GA
225200000X
Physical Therapy Assistant
Primary
2471
SC
225200000X
Physical Therapy Assistant
5359
NC

Other

Enumeration date
02/21/2013
Last updated
08/01/2014
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