Individual
SARAH DEGRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1076 RIBAUT RD, BEAUFORT, SC 29902-5476
(843) 521-1970
Mailing address
211 BLUE BIRD LN, WALTERBORO, SC 29488-9504
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2656
SC
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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