Individual
MR. TYLER CAMPBELL RASBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
157 HOME AVE, DARLINGTON, SC 29532-7625
(843) 393-2867
Mailing address
2211 WILLOW CREEK RD, EFFINGHAM, SC 29541-3631
(843) 468-1477
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.4110
SC
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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