Individual
JOANNE MIZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
634 BACONS BRIDGE RD, SUMMERVILLE, SC 29485-4102
(843) 821-2272
Mailing address
634 BACONS BRIDGE RD, SUMMERVILLE, SC 29485-4102
(843) 821-2272
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2150
SC
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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