Provider First Line Business Practice Location Address:
45 COURTENAY DRIVE
Provider Second Line Business Practice Location Address:
CENTER FOR THERAPUETIC MASSAGE
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-425-2616
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/19/2010