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1710610605
IAN DALE CARMICHAEL
MOUNT PLEASANT, SC
NPI
1710610605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
225100000X Physical Therapist
(Licence: MS PT7328)
Enumeration Date
2022-07-07
Last Update Date
2024-08-28
Business Address
IAN DALE CARMICHAEL DPT
405 FAISON RD STE 105
MOUNT PLEASANT, SC 29466-9527
Phone number: 843-352-2935
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Mailing Address
IAN DALE CARMICHAEL DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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