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1477269751
BRIAN WHITEHEAD
LEXINGTON, SC
NPI
1477269751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 5046)
Enumeration Date
2023-01-30
Last Update Date
2023-02-01
Business Address
Mr. BRIAN WHITEHEAD PTA
266 MEADOW SAFFRON DR
LEXINGTON, SC 29073-9764
Phone number: 803-457-1678
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Mailing Address
Mr. BRIAN WHITEHEAD PTA
266 MEADOW SAFFRON DR
LEXINGTON, SC 29073-9764
Phone number: 803-457-1678
Copy
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