Individual
RICHARD SEAWALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
100 OKATIE CENTER BLVD N, OKATIE, SC 29909-3750
(843) 547-4058
Mailing address
100 OKATIE CENTER BLVD N, OKATIE, SC 29909-3750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7549
SC
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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