Individual
WINIFRED ALLEN MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2714
Mailing address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7865
SC
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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