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Organization
ENVISION THERAPY SERVICES, LLC
Active
Organization
ENVISION THERAPY SERVICES, LLC
Active
Other names
Petite Rehab Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI MCGRAW WICKER PT (OWNER)
(803) 360-8797
Entity
Organization
Contact information
Practice address
211 CHAPELWOOD DR, COLUMBIA, SC 29229-7121
(803) 661-9533
Mailing address
118A N BRICKYARD RD, COLUMBIA, SC 29223-6902
(803) 897-7022
(803) 832-1572
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
4836
SC
Other
Enumeration date
04/12/2012
Last updated
06/09/2021
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