Individual
MS. KARIANNA S. WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
319 S DARGAN ST, FLORENCE, SC 29506-2538
(843) 413-4694
Mailing address
319 S DARGAN ST, FLORENCE, SC 29506-2538
(843) 413-4694
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
924
SC
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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