Organization
BEACH COWBOY FITNESS FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA WEIN LETT (EXECUTIVE DIRECTOR CEO)
(843) 438-4833
Entity
Organization
Contact information
Practice address
1200 QUEENSBOROUGH BLVD STE B, MOUNT PLEASANT, SC 29464-3191
(843) 438-4833
Mailing address
PO BOX 1625, MOUNT PLEASANT, SC 29465-1625
(843) 438-4833
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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