TEQUILA KING

RIDGELAND, SC
NPI1689412082
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  3934)
Enumeration Date2024-07-18
Last Update Date2024-07-18
Business Address
TEQUILA KING PTA
567 N OKATIE HWY
RIDGELAND, SC 29936-5078
Phone number: 843-476-0736
Mailing Address
TEQUILA KING PTA
108 LAKEWAY DR
BLUFFTON, SC 29910-4411
Phone number: 843-476-0736
Similar providers in Ridgeland, SC
ROBERT SCOTT VAIGNEUR
JENNIFER E BANNER