Individual
MRS. MICHELLE CACCAVO MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
905 DUKES ST, SAINT GEORGE, SC 29477-2059
(843) 563-4602
Mailing address
130 RIVER LANDING DR, #4111, CHARLESTON, SC 29492-7400
(352) 246-4371
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5258
SC
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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