Individual
MISS CHRISTY DATUGAN DAGSAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2307 EAST HWY 76, MARION, SC 29571-6351
(843) 423-4888
(843) 423-4849
Mailing address
1920 2ND LOOP RD, SUITE 6, FLORENCE, SC 29501-6123
(843) 423-4888
(843) 423-4849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2466
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2466
PT LICENSE NUMBER
SC
Enumeration date
08/19/2006
Last updated
09/11/2008
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