Individual
JACQUELINE SKONIECZKI HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1049 ANNA KNAPP BLVD, MT PLEASANT, SC 29464-3133
(843) 881-3210
Mailing address
50 CENTRAL ISLAND ST UNIT 402, DANIEL ISLAND, SC 29492-7386
(814) 460-9245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9206
SC
Other
Enumeration date
07/27/2018
Last updated
05/01/2025
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