Individual
JENNIFER COOK MERCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
713 CENTRAL AVE, SUMMERVILLE, SC 29483-3713
(843) 460-7203
Mailing address
713 CENTRAL AVE, SUMMERVILLE, SC 29483-3713
(843) 460-7203
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
5592
SC
Other
Enumeration date
08/14/2010
Last updated
08/14/2010
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