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1891013389
JENNIE ELLIS HAITHCOCK
SUMMERVILLE, SC
NPI
1891013389
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Former Name
JENNIE ELIZABETH ELLIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 5762)
Enumeration Date
2010-05-10
Last Update Date
2010-05-10
Business Address
-- JENNIE ELLIS HAITHCOCK DPT
205 MIDLAND PKWY
SUMMERVILLE, SC 29485-8122
Phone number: 843-875-7163
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Mailing Address
-- JENNIE ELLIS HAITHCOCK DPT
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 800-944-9782
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