Individual
ALISHA CARTER WITMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1005 9TH AVE S, NORTH MYRTLE BEACH, SC 29582-3404
(980) 581-1569
Mailing address
1005 9TH AVE S, NORTH MYRTLE BEACH, SC 29582-3404
(980) 581-1569
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3942
NC
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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