Individual
VICTORIA CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 MONTERROSA DR, MYRTLE BEACH, SC 29572-8169
(973) 879-4299
Mailing address
800 MONTERROSA DR, MYRTLE BEACH, SC 29572-8169
(973) 879-4299
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
4590
SC
225200000X
Physical Therapy Assistant
Primary
CP025919A
VA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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