NPI 1184752438

Rachael Joy Bombalicki, PTA

Practitioner Other Technician Myrtle Beach, SC

Practice location

Address: 1109 Ella CT, Myrtle Beach, SC 29588-1914
Phone: (843) 655-7878

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 2009 (SC)

Other Technician, Other providers in South Carolina →

Registry record

NPI: 1184752438
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Mar 2007
Record last updated: 25 Mar 2009

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.