# COLUMBIA REHABILITATION CLINIC

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

## Provider details

- **NPI number:** 1457448144
- **Authorized official:** MR. BRUCE DAVID FILLER (OWNER)
- **Authorized official phone:** (803) 799-7007

## Contact information

- **Practice address:** 1177 SUNSET BLVD, WEST COLUMBIA, SC 29169-6863
- **Practice address phone:** (803) 794-3440
- **Practice address fax:** (803) 791-3862
- **Mailing address:** 1177 SUNSET BLVD, COLUMBIA REHABILITATION CLINIC, WEST COLUMBIA, SC 29169-6863
- **Mailing address phone:** (803) 794-3440
- **Mailing address fax:** (803) 791-3862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 08/08/2025