Individual
MICHAEL MAILUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1451 TOBIAS GADSON BLVD APT 210, CHARLESTON, SC 29407-4775
(843) 200-1878
(843) 353-2441
Mailing address
1273 REMOUNT RD, NORTH CHARLESTON, SC 29406-3439
(843) 200-1878
(843) 353-2441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5115
SC
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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