Azevedo, Dustin

Azevedo, Dustin is an individual health care provider with primary practice located at 109 Bee St , Charleston SC 29401-5703. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Azevedo, Dustin can be contacted via phone (843) 789-7111.

Contact Information

Primary practice address
109 Bee St Charleston SC 29401-5703
Phone: (843) 789-7111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 6235 South Carolina

Profile Details

NPI number 1255900452
LBN Legal business name Azevedo, Dustin
Credentials LPTA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2021
Last updated Jun 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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