Organization
ACESO PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI LYNN WHITROW P.T. (OWNER,PHYSICAL THERAPIST)
(803) 693-2188
Entity
Organization
Contact information
Practice address
222 RIVERVIEW TER, LAKE WYLIE, SC 29710-8964
(803) 693-2188
Mailing address
222 RIVERVIEW TER, LAKE WYLIE, SC 29710-8964
(803) 693-2188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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