Individual
DOROTHY ALICIA WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1004 10TH ST, PORT ROYAL, SC 29935-2310
(843) 310-9690
(800) 317-9690
Mailing address
1004 10TH ST, PORT ROYAL, SC 29935-2310
(843) 310-9690
(800) 317-9690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6283
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6283
PROFESSIONAL LICENSE
SC
Enumeration date
08/08/2016
Last updated
08/08/2016
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