Individual
SUSAN EISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
437 CAMBRIDGE AVE E, GREENWOOD, SC 29646-2244
(864) 223-1950
Mailing address
5 FRANK PRESSLY DR, DUE WEST, SC 29639-9708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
003690
GA
225200000X
Physical Therapy Assistant
Primary
3585
SC
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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