KELLY WOOTEN

GOOSE CREEK, SC
NPI1326439670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  3084)
Enumeration Date2015-02-09
Last Update Date2025-09-16
Business Address
-- KELLY WOOTEN PTA
110 NNPTC CIR
GOOSE CREEK, SC 29445-6314
Phone number: 843-794-6402
Mailing Address
-- KELLY WOOTEN PTA
110 NNPTC CIR
GOOSE CREEK, SC 29445-6314
Phone number: 843-794-6402
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