Individual
ETHEL MAE SANTAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1101 JOHNSON AVE, MYRTLE BEACH, SC 29577-1893
(843) 477-0177
Mailing address
1101 JOHNSON AVE, MYRTLE BEACH, SC 29577-1893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT027918
PA
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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