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1134463722
CHARLES BRIAN HEWITT
MYRTLE BEACH, SC
NPI
1134463722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 2744)
Enumeration Date
2012-11-20
Last Update Date
2012-11-20
Business Address
Mr. CHARLES BRIAN HEWITT PTA
171 BRIGHTWATER DR
MYRTLE BEACH, SC 29579
Phone number: 843-903-0786
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Mailing Address
Mr. CHARLES BRIAN HEWITT PTA
9804 PLUMFIELD CT
MYRTLE BEACH, SC 29579-5345
Phone number: 843-230-5566
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