Individual
DUSTIN TOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3301 STOCKDALE ST, SUITE B, MOUNT PLEASANT, SC 29466-7125
(843) 375-5448
Mailing address
325 MIDLAND PKWY, APT 811, SUMMERVILLE, SC 29485-8172
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6943
SC
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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