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Julie Hicks Traynham, PTA

Physical Therapy Assistant in Inman, SC. Individual provider (NPI-1).

NPI number1982804480
StatusActive
Last updated in NPPESJul 23, 2007

Details

NPI
1982804480
Entity type
Individual (NPI-1)
Name
Julie Hicks Traynham
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 23, 2007
Last updated
Jul 23, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant1869SCYes

Practice location

63 Blackstock Rd
Inman, SC 29349-1835

Phone 864-472-9055

Mailing address

63 Blackstock Rd
Inman, SC 29349-1835

Phone 864-472-9055

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