Individual
RACHEL LEAH BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
428 PANGEL LN, DUNCAN, SC 29334-8801
(864) 913-9707
Mailing address
428 PANGEL LN, DUNCAN, SC 29334-8801
(864) 913-9707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1440
SC
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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