BERNUM BENJAMIN ASHLEY

MOORE, SC
NPI1932492535
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  2059)
Enumeration Date2011-05-16
Last Update Date2011-05-16
Business Address
-- BERNUM BENJAMIN ASHLEY
125 MALLARD DR
MOORE, SC 29369-9464
Phone number: 864-486-9585
Mailing Address
-- BERNUM BENJAMIN ASHLEY
125 MALLARD DR
MOORE, SC 29369-9464
Phone number: 864-486-9585
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