# MUSTARD SEED PHYSICAL THERAPY & WELLNESS, LLC

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

## Provider details

- **NPI number:** 1356953137
- **Authorized official:** TATIANA VASQUEZ PT, DPT (DOCTOR OF PHYSICAL THERAPY)
- **Authorized official phone:** (781) 608-9623

## Contact information

- **Practice address:** 700 CREEKBRIDGE DR, ROCK HILL, SC 29732-9169
- **Practice address phone:** (781) 608-9623
- **Mailing address:** 700 CREEKBRIDGE DR, ROCK HILL, SC 29732-9169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2020
- **Last updated:** 08/09/2022