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Individual

SANDY MICHELLE MCKENZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2313 DEPOT RD, BEAUFORT, SC 29902-4306
(912) 399-2344
Mailing address
2313 DEPOT RD, BEAUFORT, SC 29902-4306
(912) 399-2344

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3137
SC

Other

Enumeration date
11/18/2015
Last updated
11/18/2015
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