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Organization
PIVOTAL INJURY AND REHAB INC
Active
Organization
PIVOTAL INJURY AND REHAB INC
Active
Other names
Pivotal Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WAYNE BOWERS DC (OWNER)
(803) 254-4699
Entity
Organization
Contact information
Practice address
103 SUM MOR DR, WEST COLUMBIA, SC 29169-4828
(803) 254-4699
(803) 851-1235
Mailing address
PO BOX 2632, LEXINGTON, SC 29071-2632
(803) 218-9886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/22/2017
Last updated
09/06/2023
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