Individual
MARLON LIBUNAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 BYPASS 225, GREENWOOD, SC 29646-1154
(864) 223-0406
Mailing address
920 SUNSET DR, GREENWOOD, SC 29646-1806
(864) 335-9284
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2892
LICENSE#
SC
Enumeration date
08/29/2006
Last updated
07/08/2007
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