# CAROLINA WOMEN'S PHYSICAL THERAPY AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184974743
- **Authorized official:** DAWN CHAMBERS-LYNCH (OWNER)
- **Authorized official phone:** (803) 386-8610

## Contact information

- **Practice address:** 4015 FOREST DR STE 101, COLUMBIA, SC 29204-4350
- **Practice address phone:** (803) 386-8610
- **Mailing address:** 304 FAVERSHAM CRES, COLUMBIA, SC 29229-7003
- **Mailing address phone:** (803) 386-8610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 5018 | SC | Yes |

## Other

- **Enumeration date:** 09/11/2012
- **Last updated:** 12/14/2012
