Individual
DANIELLE ELIZABETH WIRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 HIGHWAY 17 S, SURFSIDE BEACH, SC 29575-6088
(843) 238-9542
Mailing address
520 HIGHWAY 17 S, SURFSIDE BEACH, SC 29575-6088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8314
SC
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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