MARK D CHANACA

MYRTLE BEACH, SC
NPI1346290939
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  4652)
Enumeration Date2006-05-12
Last Update Date2021-03-10
Business Address
MR. MARK D CHANACA P.T.
2200 CROW LN
MYRTLE BEACH, SC 29577-1663
Phone number: 843-848-5000
Mailing Address
MR. MARK D CHANACA P.T.
PO BOX 421718
GEORGETOWN, SC 29442-4203
Phone number: 843-652-8226
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