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Individual

MAKENZIE WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
104 MAXWELL AVE, GREENWOOD, SC 29646-2641
(864) 229-7529
(864) 229-7530
Mailing address
435 HARMONY RD, WARE SHOALS, SC 29692-2830
(864) 992-1396

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2846
SC

Other

Enumeration date
04/14/2015
Last updated
04/14/2015
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