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1245459007
ELLEN FAY PATRICK
ORANGEBURG, SC
NPI
1245459007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 3354)
Enumeration Date
2007-04-24
Last Update Date
2016-10-03
Business Address
-- ELLEN FAY PATRICK PT
119 OFFICE PARK DR
ORANGEBURG, SC 29118-2407
Phone number: 803-536-5509
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Mailing Address
-- ELLEN FAY PATRICK PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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