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1003403908
ELLIE VICTORIA MICHAEL
GREER, SC
NPI
1003403908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 4556)
Enumeration Date
2020-12-25
Last Update Date
2020-12-25
Business Address
ELLIE VICTORIA MICHAEL PTA
1305 BOILING SPRINGS RD
GREER, SC 29650-4139
Phone number: 864-458-7566
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Mailing Address
ELLIE VICTORIA MICHAEL PTA
184 CAROLINA OAKS DR
FOUNTAIN INN, SC 29644-8506
Phone number: 864-612-0727
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