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Organization
SMITH PHYSICAL THERAPY AND WELLNESS
Active
Organization
SMITH PHYSICAL THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE C. SMITH JR. DPT, MPT (CO-OWNER)
(803) 810-1186
Entity
Organization
Contact information
Practice address
2435 HIGHWAY 160 WEST, SUITE 108, TEGA CAY, SC 29708
(803) 810-1186
Mailing address
2764 PLEASANT ROAD, SUITE A #10651, FORT MILL, SC 29708-7299
(803) 810-1186
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/14/2017
Last updated
03/15/2018
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