Individual
MISS ELLISON SLOAN EARGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
420B MCNULTY ST, BLYTHEWOOD, SC 29016-8786
(803) 728-0421
(803) 728-0424
Mailing address
420B MCNULTY ST, BLYTHEWOOD, SC 29016-8786
(803) 728-0421
(803) 728-0424
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6990
SC
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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