Individual
CONSTANCE GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 BOILING SPRINGS RD STE 1600, SPARTANBURG, SC 29303-4219
(803) 732-5887
(803) 732-5997
Mailing address
PO BOX 3408, IRMO, SC 29063-4015
(803) 732-5887
(803) 732-5997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7556
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7556
PT LICENSE
SC
Enumeration date
10/02/2014
Last updated
05/15/2019
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