Individual
PAUL ANAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1101 JOHNSON AVE, RM 138, MYRTLE BEACH, SC 29577-1893
(843) 477-0177
Mailing address
1101 JOHNSON AVE, RM 138, MYRTLE BEACH, SC 29577-1893
(843) 477-0177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
959
SC
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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