VICTOR CARNELL SOUTH

SUMTER, SC
NPI1386986586
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  2831)
Enumeration Date2013-03-26
Last Update Date2013-03-26
Business Address
Mr. VICTOR CARNELL SOUTH LPTA
8 ALTHEA CIR
SUMTER, SC 29150-2464
Phone number: 757-515-0109
Mailing Address
Mr. VICTOR CARNELL SOUTH LPTA
8 ALTHEA CIR
SUMTER, SC 29150-2464
Phone number: 757-515-0109