Individual
CHASSIDY ELIZABETH RETTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
157 HOME AVE, DARLINGTON, SC 29532-7625
(286) 784-3393
Mailing address
840 CHAUCER DR, FLORENCE, SC 29505-3635
(843) 758-3075
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.4542
SC
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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