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Organization
SOUTHERN ORTHOPAEDIC PHYSICAL THERAPY,LLC
Active
Organization
SOUTHERN ORTHOPAEDIC PHYSICAL THERAPY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA J EKMAN PYSICAL THERAPIST (PRESIDENT)
(803) 376-8880
Entity
Organization
Contact information
Practice address
1718 SAINT JULIAN PL, COLUMBIA, SC 29204-2410
(803) 376-8880
(803) 376-8881
Mailing address
1718 SAINT JULIAN PL, COLUMBIA, SC 29204-2410
(803) 376-8880
(803) 376-8881
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
3168
SC
Other
Enumeration date
07/25/2006
Last updated
01/30/2008
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