Individual
MR. BRIAN WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
266 MEADOW SAFFRON DR, LEXINGTON, SC 29073-9764
(803) 457-1678
Mailing address
266 MEADOW SAFFRON DR, LEXINGTON, SC 29073-9764
(803) 457-1678
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5046
SC
Other
Enumeration date
01/30/2023
Last updated
02/01/2023
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