Individual
KENDRICK MINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 JACOBS HWY, CLINTON, SC 29325-7279
(864) 833-2550
Mailing address
304 JACOBS HWY, CLINTON, SC 29325-7279
(864) 833-2550
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3096
SC
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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