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1740755578
JOHNNY NEAL
GREENVILLE, SC
NPI
1740755578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 3973)
Enumeration Date
2018-10-08
Last Update Date
2018-10-08
Business Address
JOHNNY NEAL PTA
850 E BUTLER RD
GREENVILLE, SC 29607-5842
Phone number: 864-675-6421
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Mailing Address
JOHNNY NEAL PTA
11 BURGUNDY DR
GREENVILLE, SC 29615-1215
Phone number: 864-991-2641
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