Individual
MRS. SHARON LAKEISHA CARSWELL-ECTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
140 TOKEENA RD, SENECA, SC 29678-1744
(864) 882-1642
Mailing address
314 ROCKY PRONG RD, PATRICK, SC 29584-4418
(843) 622-5159
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2042
SC
225200000X
Physical Therapy Assistant
4528
NC
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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