Individual
EMILY TAKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3655 MITCHELL ST, LORIS, SC 29569-2827
(843) 716-7746
Mailing address
1032 WARREN ST, POTTSTOWN, PA 19464-4114
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1909
SC
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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