ASHLEY V JERRY

WEST COLUMBIA, SC
NPI1164627626
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  2096)
Enumeration Date2007-06-15
Last Update Date2007-07-08
Business Address
-- ASHLEY V JERRY PTA
2993 SUNSET BLVD
WEST COLUMBIA, SC 29169-3421
Phone number: 803-939-0026
Mailing Address
-- ASHLEY V JERRY PTA
1327 TROJAN RD
MONETTA, SC 29105-9309
Phone number: 803-295-8293