Individual
MS. ELIZABETH RYAN FAIRCLOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
943 PINE LOG RD, AIKEN, SC 29803
(803) 649-9797
(803) 642-2759
Mailing address
943 PINE LOG RD, AIKEN, SC 29803-7330
(803) 649-9797
(803) 642-2759
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5352
SC
Other
Enumeration date
10/16/2008
Last updated
06/19/2018
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