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DENNIS THEOBALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
313 W CAROLINA AVE, HARTSVILLE, SC 29550-4521
(843) 332-7750
(843) 332-7754
Mailing address
1647 RUBY RD, HARTSVILLE, SC 29550-2407
(843) 332-7750

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7607
SC

Other

Enumeration date
06/13/2007
Last updated
12/18/2015
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