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Organization
UNIVERSITY OF SOUTH CAROLINA PHYSICAL THERAPY CLINIC
Active
Organization
UNIVERSITY OF SOUTH CAROLINA PHYSICAL THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY CORNETTE (BUSINESS MANAGER)
(803) 777-0486
Entity
Organization
Contact information
Practice address
BLATT PHYSICAL EDUCATION CTR, 1300 WHEAT STREET ROOM 104, COLUMBIA, SC 29208-0001
(803) 777-0486
(803) 777-8422
Mailing address
1300 WHEAT STREET, BLATT PE CENTER ROOM 104, COLUMBIA, SC 29208
(803) 777-0486
(803) 777-8422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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