Individual
MARK BRIAN KRIEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 LAKES AT LITCHFIELD DR, PAWLEYS ISLAND, SC 29585-9001
(843) 353-6419
Mailing address
842 INDIANOLA CT, MYRTLE BEACH, SC 29579-4296
(843) 267-5456
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3469
SC
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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