Individual
ANQUIN GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
115 GOULD RD, PINEVILLE, SC 29468-3242
(843) 312-0193
Mailing address
115 GOULD RD, PINEVILLE, SC 29468-3242
(843) 312-0193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25265
FL
225100000X
Physical Therapist
6141
SC
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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