Individual
MRS. LIZETTE F MCGILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2318 SUNSET BLVD, WEST COLUMBIA, SC 29169-4716
(803) 454-6090
Mailing address
1053 CENTER ST, WEST COLUMBIA, SC 29169-6749
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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