Individual
TRACY DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1476 LONG GROVE DR, MOUNT PLEASANT, SC 29464-7571
(843) 216-3534
Mailing address
220 BERESFORD CREEK ST, DANIEL ISLAND, SC 29492-7518
(843) 327-7655
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4430
SC
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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