Organization
GABRIELLE NEUROMUSCULAR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE BANKSTON LMT (OWNER)
(843) 214-8646
Entity
Organization
Contact information
Practice address
720 MAGNOLIA RD STE 12, CHARLESTON, SC 29407-7094
(843) 214-8646
Mailing address
720 MAGNOLIA RD STE 12, CHARLESTON, SC 29407-7094
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8955
SC
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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