Individual
CHARLOTTE THOMPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4367 RIVERWOOD DR UNIT 140, MURRELLS INLET, SC 29576-4381
(843) 357-3162
Mailing address
323 EDGEWOOD CIR, CONWAY, SC 29527-5635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3716
LICENSE #
SC
Enumeration date
08/30/2006
Last updated
07/08/2007
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