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1184175390
MARY RICHARDSON
CHARLESTON, SC
NPI
1184175390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 2654)
Enumeration Date
2016-10-24
Last Update Date
2016-10-24
Business Address
-- MARY RICHARDSON PTA
2230 ASHLEY CROSSING DRIVE
CHARLESTON, SC 29414
Phone number: 843-766-5228
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Mailing Address
-- MARY RICHARDSON PTA
1911 2ND DRIVE
CHARLESTON, SC 29407
Phone number: 843-607-4441
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