Individual
MRS. CARRIE HOURIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT, LMT, PTA
Contact information
Practice address
4216 WILDWOOD LNDG, NORTH CHARLESTON, SC 29420-7535
(843) 718-4001
Mailing address
4216 WILDWOOD LNDG, NORTH CHARLESTON, SC 29420-7535
(843) 718-4001
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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