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1235994161
MACKENZIE THACKER
PAWLEYS ISLAND, SC
NPI
1235994161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 12231)
Enumeration Date
2024-02-20
Last Update Date
2024-02-20
Business Address
MACKENZIE THACKER DPT
38 BUSINESS CENTER DRIVE
PAWLEYS ISLAND, SC 29585
Phone number: 843-235-0200
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Mailing Address
MACKENZIE THACKER DPT
PO BOX 2397
PAWLEYS ISLAND, SC 29585-2397
Phone number:
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