Individual
MR. JOSE NEPHTALI GUEVARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
107 N 8TH ST, HARTSVILLE, SC 29550
(843) 857-4343
(843) 857-4345
Mailing address
107 N 8TH ST, HARTSVILLE, SC 29550
(843) 857-4343
(843) 857-4345
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3280
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1694
—
SC
Enumeration date
07/02/2006
Last updated
10/17/2007
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