Individual
MRS. AUDREY DIANE MORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1038 MCGILL LN, SAINT STEPHEN, SC 29479-3196
(843) 567-2307
Mailing address
315 FOX RIDGE LN, MONCKS CORNER, SC 29461-6719
(843) 826-1487
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6395
SC
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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