# ENVISION THERAPY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Petite Rehab Pediatric Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346507571
- **Authorized official:** SHERRI MCGRAW WICKER PT (OWNER)
- **Authorized official phone:** (803) 360-8797

## Contact information

- **Practice address:** 211 CHAPELWOOD DR, COLUMBIA, SC 29229-7121
- **Practice address phone:** (803) 661-9533
- **Mailing address:** 118A N BRICKYARD RD, COLUMBIA, SC 29223-6902
- **Mailing address phone:** (803) 897-7022
- **Mailing address fax:** (803) 832-1572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | 4836 | SC | — |

## Other

- **Enumeration date:** 04/12/2012
- **Last updated:** 06/09/2021