DWAYNE ANSEL KING

WEST COLUMBIA, SC
NPI1891063160
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: SC  6563)
Enumeration Date2011-12-01
Last Update Date2011-12-01
Business Address
-- DWAYNE ANSEL KING PT
132 B SUNSET COURT
WEST COLUMBIA, SC 29169-2429
Phone number: 803-796-5116
Mailing Address
-- DWAYNE ANSEL KING PT
132 B SUNSET COURT
WEST COLUMBIA, SC 29169-2429
Phone number: 803-796-5116
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