Individual
MS. ANDREA MALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2000
Mailing address
3731 SOUTHBOROUGH RD, APT 5B, FLORENCE, SC 29501-5815
(843) 413-6081
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2069
SC
Other
Enumeration date
06/28/2007
Last updated
08/07/2007
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