Individual
EDUARD VIKTOROVICH GORETOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
100 DUNCAN HEIGHTS RD, DUNCAN, SC 29334-9332
(864) 542-3809
Mailing address
100 DUNCAN HEIGHTS RD, DUNCAN, SC 29334-9332
(864) 542-3809
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
12350A
AZ
225200000X
Physical Therapy Assistant
Primary
2119263
TX
225200000X
Physical Therapy Assistant
2716
SC
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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