Individual
MARY KAY BELISSARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
701 CASHUA FERRY RD, DARLINGTON, SC 29532-8488
(843) 777-4246
(843) 777-4247
Mailing address
701 CASHUA FERRY RD, DARLINGTON, SC 29532-8488
(843) 777-4246
(843) 777-4247
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
795
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPO334
—
SC
Enumeration date
11/17/2006
Last updated
07/09/2007
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