Individual
HEATHER MAHARREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
9225 UNIVERSITY BLVD, STE. D, NORTH CHARLESTON, SC 29406-9149
(843) 569-4546
(843) 569-4535
Mailing address
9225 UNIVERSITY BLVD, STE. D, NORTH CHARLESTON, SC 29406-9149
(843) 569-4546
(843) 569-4535
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3319
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1392
—
SC
Enumeration date
10/20/2006
Last updated
07/08/2007
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