Individual
MR. RICHARD T. JELETIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
6 FELHURST CT, SIMPSONVILLE, SC 29681-6546
(864) 371-9178
(864) 288-2277
Mailing address
6 FELHURST CT, SIMPSONVILLE, SC 29681-6546
(864) 371-9178
(864) 288-2277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5477
SC
225100000X
Physical Therapist
PT014295
PA
Other
Enumeration date
05/31/2005
Last updated
01/08/2009
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