Individual
LARRY ELLIOTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
831 MCDOW DR, ROCK HILL, SC 29732-2415
(803) 366-5722
Mailing address
548 SWEET PEACH LN, FORT MILL, SC 29715-6943
(803) 547-3049
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1580
SC
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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