Individual
DANA CORISSA WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1421 ROPER MOUNTAIN RD APT 313, GREENVILLE, SC 29615-5138
(912) 996-0279
Mailing address
1421 ROPER MOUNTAIN RD APT 313, GREENVILLE, SC 29615-5138
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4410
SC
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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