JACOB KINGSTON

NORTH CHARLESTON, SC
NPI1760895833
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  7395)
Enumeration Date2014-06-06
Last Update Date2014-06-06
Business Address
-- JACOB KINGSTON DPT
2070 NORTHBROOK BLVD
NORTH CHARLESTON, SC 29406-9252
Phone number: 843-824-2183
Mailing Address
-- JACOB KINGSTON DPT
586 LONE TREE DR
MOUNT PLEASANT, SC 29464-8170
Phone number: 843-884-7880
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