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Individual

ELLIOT CLEVELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2891 TRICOM ST STE B, NORTH CHARLESTON, SC 29406-7110
(843) 573-2411
(843) 573-2281
Mailing address
2891 TRICOM ST STE B, NORTH CHARLESTON, SC 29406-7110

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8601
SC

Other

Enumeration date
06/06/2017
Last updated
06/06/2017
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