Individual
ELLEN TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1021 2ND AVE N STE 6, NORTH MYRTLE BEACH, SC 29582-3200
(843) 450-9177
Mailing address
1021 2ND AVE N STE 6, NORTH MYRTLE BEACH, SC 29582-3200
(843) 450-9177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9004
SC
Other
Enumeration date
02/09/2017
Last updated
10/01/2023
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