JENNIE ELLIS HAITHCOCK

SUMMERVILLE, SC
NPI1891013389
Former NameJENNIE ELIZABETH ELLIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  5762)
Enumeration Date2010-05-10
Last Update Date2010-05-10
Business Address
-- JENNIE ELLIS HAITHCOCK DPT
205 MIDLAND PKWY
SUMMERVILLE, SC 29485-8122
Phone number: 843-875-7163
Mailing Address
-- JENNIE ELLIS HAITHCOCK DPT
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 800-944-9782
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