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Individual

ELIZABETH ROSE BANNIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
719 SE MAIN ST STE B, SIMPSONVILLE, SC 29681-3237
(864) 233-5128
Mailing address
1007 GROVE RD STE C, GREENVILLE, SC 29605-4630
(864) 233-5128

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10334
SC

Other

Enumeration date
08/28/2015
Last updated
04/18/2022
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