Individual
ALICE JEAN HURSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12 COZIER CT, AIKEN, SC 29803-5228
(910) 231-4315
Mailing address
12 COZIER CT, AIKEN, SC 29803-5228
(910) 231-4315
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2177
SC
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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