MARISSA SLATE

LADSON, SC
NPI1306298443
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: SC  PT 8191)
Additional Taxonomies2251P0200X Physical Therapist, Pediatrics
(Licence: FL  PT31544)
Enumeration Date2016-07-12
Last Update Date2017-12-13
Business Address
MARISSA SLATE PT, DPT
9565 HIGHWAY 78 STE 102
LADSON, SC 29456-4118
Phone number: 843-314-5434
Mailing Address
MARISSA SLATE PT, DPT
9565 HWY 78 BLDG 700 STE 102
LADSON, SC 29456-4116
Phone number: 843-314-5434