Individual
MS. TRACY J DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
324 WILD CHERRY RD, CHAPIN, SC 29036-9004
(803) 791-2155
Mailing address
324 WILD CHERRY RD, CHAPIN, SC 29036-9004
(803) 791-2155
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1327
SC
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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