Individual
MR. RONALD L JOLLY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
531 LUCERNE DR, SPARTANBURG, SC 29302-3262
(864) 497-7623
Mailing address
531 LUCERNE DR, SPARTANBURG, SC 29302-3262
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1182
SC
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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