Individual
MARANDA DREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9241 UNIVERSITY BLVD, SUITE B-1, NORTH CHARLESTON, SC 29406-9349
(843) 764-4887
Mailing address
122 FAIRBURY DR, GOOSE CREEK, SC 29445-7028
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1734
SC
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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