Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant |
NPI | 1013154756 |
---|---|
Provider Name | Mrs. Dinah Durand Murdaugh |
First Address | West Columbia, SC 29169-6749 |
Second Address | Rock Hill, SC 29732-2315 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2009 |
Last Update Date | 16/01/2009 |