Teresa D Wise, PT
NPI #1578830675 in Conway, South Carolina
Provider Information
- NPI Number
- 1578830675
- Entity Type
- Individual
- Name
- Teresa D Wise, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Nov 18, 2011
- Last Updated
- Nov 11, 2015
Practice Location
- Address
- 4317 BRADFORD DR
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29526-2427
- Phone
- (843) 331-7666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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