Individual
MR. MARVIN SALAMANCA STO DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
309 CHESTERFIELD HWY, SUITE 1, CHERAW, SC 29520
(843) 320-8000
(843) 320-8002
Mailing address
309 CHESTERFIELD HWY, SUITE 1, CHERAW, SC 29520
(843) 320-8000
(843) 320-8002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2899
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3247
—
SC
Enumeration date
07/03/2006
Last updated
06/27/2012
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