Individual
LISA CYGANIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5669 ROSEWOOD DR, MYRTLE BEACH, SC 29588-7107
(843) 457-7674
Mailing address
5669 ROSEWOOD DR, MYRTLE BEACH, SC 29588-7107
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2890
SC
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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