EVAN QUEEN

SUMTER, SC
NPI1023365947
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  837)
Enumeration Date2012-08-09
Last Update Date2012-08-09
Business Address
-- EVAN QUEEN PTA
2825 CARTER RD
SUMTER, SC 29150-1712
Phone number: 803-469-4032
Mailing Address
-- EVAN QUEEN PTA
14 RILEY ST
SUMTER, SC 29150-4717
Phone number: 803-236-1707
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