Individual
ANTRAN T MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1163 DOBSON ST SW, SUPPLY, NC 28462-3208
(843) 655-8608
Mailing address
1163 DOBSON ST SW, SUPPLY, NC 28462-3208
(843) 655-8608
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5033
NC
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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