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Individual

DOMENIQUE O'DAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, PT

Contact information

Practice address
201 BRIGHTWATER DR, GENESIS REHAB, MYRTLE BEACH, SC 29579-8298
(843) 903-8958
Mailing address
201 BRIGHTWATER DR, GENESIS REHAB, MYRTLE BEACH, SC 29579-8298
(843) 903-8958

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6106
SC

Other

Enumeration date
11/04/2008
Last updated
08/26/2011
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