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Individual

MRS. CARRIE HOURIGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPHT, LMT, PTA

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
225200000X
Physical Therapy Assistant
3790
SC
225700000X
Massage Therapist
Primary
9742
SC

Other

Enumeration date
10/04/2015
Last updated
03/24/2020
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