Individual
MR. TRACY NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
242 COMMERCE ST, MANNING, SC 29102-2637
(803) 433-9001
Mailing address
242 COMMERCE ST, MANNING, SC 29102-2637
(803) 433-9001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4166
SC
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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