OLIVIA DUBOSE WHITLEY

WEST COLUMBIA, SC
NPI1306963897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  1365)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
-- OLIVIA DUBOSE WHITLEY
1625 DECREE AVE
WEST COLUMBIA, SC 29169-5638
Phone number: 803-926-9892
Mailing Address
-- OLIVIA DUBOSE WHITLEY
1625 DECREE AVE
WEST COLUMBIA, SC 29169-5638
Phone number: