KELLY MACK

IRMO, SC
NPI1215184056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: SC  2278)
Enumeration Date2008-08-23
Last Update Date2008-08-23
Business Address
-- KELLY MACK PT
107 HOLLY CREEK DR
IRMO, SC 29063-8918
Phone number: 803-749-1625
Mailing Address
-- KELLY MACK PT
107 HOLLY CREEK DR
IRMO, SC 29063-8918
Phone number:
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