Individual
MRS. NANETTE MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
221 CRIMSON OAK DR, LEXINGTON, SC 29072-8182
(803) 358-6503
Mailing address
221 CRIMSON OAK DR, LEXINGTON, SC 29072-8182
(803) 358-6503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5095
SC
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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