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1528548948
SAMANTHA A CRISAFULLI
MYRTLE BEACH, SC
NPI
1528548948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 9272)
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
SAMANTHA A CRISAFULLI DPT
3076 DICK POND RD UNIT 4
MYRTLE BEACH, SC 29588-7992
Phone number: 843-831-0163
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Mailing Address
SAMANTHA A CRISAFULLI DPT
PO BOX 2397
PAWLEYS ISLAND, SC 29585-2397
Phone number: 843-235-0200
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