Individual
JENNIFER BRODBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8015
SC
Other
Enumeration date
05/22/2016
Last updated
05/22/2016
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