LACEY AUTUMN HARRIS

MYRTLE BEACH, SC
NPI1770215063
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  4887)
Enumeration Date2022-06-27
Last Update Date2022-06-27
Business Address
LACEY AUTUMN HARRIS PTA
4871 SOCASTEE BLVD UNIT E
MYRTLE BEACH, SC 29588-7252
Phone number: 843-293-5610
Mailing Address
LACEY AUTUMN HARRIS PTA
4871 SOCASTEE BLVD UNIT E
MYRTLE BEACH, SC 29588-7252
Phone number:
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