# ABL WELLNESS LLC

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

## Provider details

- **NPI number:** 1700614369
- **Authorized official:** DR. AMAYA BRIONNA LILES PT,DPT (OWNER)
- **Authorized official phone:** (803) 859-5063

## Contact information

- **Practice address:** 1730 CARL RD, COLUMBIA, SC 29210-7707
- **Practice address phone:** (856) 265-4739
- **Mailing address:** 6650 RIVERS AVE STE 105, NORTH CHARLESTON, SC 29406-4829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/24/2024
- **Last updated:** 07/24/2024
