CHARLES BRIAN HEWITT

MYRTLE BEACH, SC
NPI1134463722
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  2744)
Enumeration Date2012-11-20
Last Update Date2012-11-20
Business Address
Mr. CHARLES BRIAN HEWITT PTA
171 BRIGHTWATER DR
MYRTLE BEACH, SC 29579
Phone number: 843-903-0786
Mailing Address
Mr. CHARLES BRIAN HEWITT PTA
9804 PLUMFIELD CT
MYRTLE BEACH, SC 29579-5345
Phone number: 843-230-5566