Individual
MA. CARMELA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2070 CUTTERPOINT DR, UNIT 204, LAKE WYLIE, SC 29710-4569
(704) 458-3997
Mailing address
2070 CUTTERPOINT DR, UNIT 204, LAKE WYLIE, SC 29710-4569
(704) 458-3997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
7579
SC
225100000X
Physical Therapist
Primary
P15095
NC
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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