KATHLEEN MARY SIUDA

MYRTLE BEACH, SC
NPI1285916361
Former NameKATHLEEN MARY SIUDA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  2586)
Enumeration Date2011-09-14
Last Update Date2011-09-14
Business Address
-- KATHLEEN MARY SIUDA
2171 SENECA RIDGE DR
MYRTLE BEACH, SC 29579-4178
Phone number: 843-903-2950
Mailing Address
-- KATHLEEN MARY SIUDA
2171 SENECA RIDGE DR
MYRTLE BEACH, SC 29579-4178
Phone number: 843-903-2950
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