Individual
MRS. CYNTHIA M GROUP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
49 INGLEWOOD CIRCLE, ST HELENA ISLAND, SC 29920-3609
(803) 300-4555
Mailing address
49 INGLEWOOD CIR, SAINT HELENA ISLAND, SC 29920-3609
(843) 838-0986
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
237
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0016
—
SC
Enumeration date
06/18/2006
Last updated
07/08/2007
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