Individual
REGINA N WASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4003 LADSON RD, LADSON, SC 29456-4936
(843) 873-7092
Mailing address
8777 PURDUE RD STE 330, INDIANAPOLIS, IN 46268-3121
(800) 603-6046
(317) 884-3393
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
666
SC
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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