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Individual

TASHA N TRESSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
811 W MAIN ST, LEXINGTON, SC 29072-2507
(803) 358-6100
Mailing address
2720 SUNSET BLVD, ATTN CREDENTIALING, WEST COLUMBIA, SC 29169-4810
(803) 936-7679

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004656
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004656
LICENSE #
SC
Enumeration date
01/25/2007
Last updated
07/08/2007
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