Individual
MYRNA VINAS-ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
200 FORTRESS DR, INMAN, SC 29349-9160
(864) 814-1357
Mailing address
500 COLLINGSWORTH LN, GREENVILLE, SC 29615-5951
(864) 254-9108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2903
SC
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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