Individual
MARY ANN SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
217A SAINT JAMES AVE, GOOSE CREEK, SC 29445-2990
(843) 277-6232
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8651
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8651
SC PT LICENSE
SC
Enumeration date
06/22/2017
Last updated
02/19/2025
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