Individual
REBEKAH BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LADEAN CT, SIMPSONVILLE, SC 29680-6795
(864) 641-3183
Mailing address
201 LADEAN CT, SIMPSONVILLE, SC 29680-6795
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS12286
SC
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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