Individual
SUSAN K CHALELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1476 LONG GROVE DR, MT PLEASANT, SC 29464-7571
(843) 216-3534
(843) 216-3576
Mailing address
1476 LONG GROVE DR, MT PLEASANT, SC 29464-7571
(843) 216-3534
(843) 216-3576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5484
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1903
—
SC
Enumeration date
02/19/2008
Last updated
03/29/2013
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