Individual
AYOE ALEXA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
7800 RIVERS AVE STE 1240, NORTH CHARLESTON, SC 29406-4067
(843) 277-0710
(843) 573-7412
Mailing address
141 ATRIUM WAY, COLUMBIA, SC 29223-6301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9963
SC
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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