Individual
ABBY RAYE PALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1076 RIBAUT RD STE 102, BEAUFORT, SC 29902-5490
(843) 521-1970
(843) 521-0908
Mailing address
1076 RIBAUT RD STE 102, BEAUFORT, SC 29902-5490
(843) 521-1970
(843) 521-0908
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3179
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3179
PTA
SC
Enumeration date
09/12/2014
Last updated
09/12/2014
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