Individual
MRS. MICHELE ACEJO BUCAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
335 MIDLAND PKWY, SUMMERVILLE, SC 29485-8138
(843) 873-5204
Mailing address
127 HISTORY LN, SUMMERVILLE, SC 29485-7850
(843) 821-0059
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2760
SC
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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