Individual
GIANNA LOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
176 VILLAGE CENTER BLVD, MYRTLE BEACH, SC 29579-6618
(843) 547-5272
Mailing address
20A SMITH BLVD, MYRTLE BEACH, SC 29588-6093
(843) 251-8150
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4401
SC
225200000X
Physical Therapy Assistant
A5616
MD
Other
Enumeration date
12/19/2021
Last updated
04/30/2022
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