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-- BENJAMIN WOOMER -- PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1619415643
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
1105 MOUNT BATTEN DR, HANAHAN, SC, 294103112
Phone
(803) 360-5007

Specialties & Taxonomies

Physical Therapy Assistant Primary License: SC #2583
Physical Therapy Assistant License: VA #2306604625

All Addresses

MAILING

1105 MOUNT BATTEN DR

HANAHAN, SC, 294103112

(803) 360-5007

LOCATION

1105 MOUNT BATTEN DR

HANAHAN, SC, 294103112

(803) 360-5007