# PRO CHIROPRACTIC AND PERFORMANCE, LLC.

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

## Provider details

- **NPI number:** 1346635752
- **Authorized official:** DR. PATRICK RYAN OTOOLE D.C. (OWNER)
- **Authorized official phone:** (803) 309-3777

## Contact information

- **Practice address:** 1014 LEESBURG RD, COLUMBIA, SC 29209-2131
- **Practice address phone:** (803) 309-3777
- **Mailing address:** 150 PELHAM DR, COLUMBIA, SC 29209-1320
- **Mailing address phone:** (803) 227-3377
- **Mailing address fax:** (803) 227-4884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 3877 | SC | Yes |

## Other

- **Enumeration date:** 04/02/2015
- **Last updated:** 04/20/2017
