Individual
IAN DALE CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
405 FAISON RD STE 105, MOUNT PLEASANT, SC 29466-9527
(843) 352-2935
(843) 352-2937
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT7328
MS
225100000X
Physical Therapist
Primary
—
SC
Other
Enumeration date
07/07/2022
Last updated
08/28/2024
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