NPI 1134463722

Charles Brian Hewitt, PTA

Practitioner Physical Therapy Assistant Myrtle Beach, SC

Practice location

Address: 171 Brightwater Dr, Myrtle Beach, SC 29579
Phone: (843) 903-0786
Mailing address: 9804 Plumfield CT, Myrtle Beach, SC 29579-5345

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2744 (SC)

Other Physical Therapy Assistant providers in South Carolina →

Registry record

NPI: 1134463722
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Nov 2012
Record last updated: 20 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.