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1578830675
TERESA D WISE
CONWAY, SC
NPI
1578830675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 4366)
Enumeration Date
2011-11-18
Last Update Date
2015-11-11
Business Address
TERESA D WISE PT
4317 BRADFORD DR
CONWAY, SC 29526-2427
Phone number: 843-331-7666
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Mailing Address
TERESA D WISE PT
4317 BRADFORD DR
CONWAY, SC 29526-2427
Phone number: 843-331-7666
Copy
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