Individual
SAMANTHA A CRISAFULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3076 DICK POND RD UNIT 4, MYRTLE BEACH, SC 29588-7992
(843) 831-0163
(843) 831-0173
Mailing address
PO BOX 2397, PAWLEYS ISLAND, SC 29585-2397
(843) 235-0200
(843) 235-0242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9272
SC
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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