Individual
MARIE DANIELLE FORDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1924 MAIN ST, COLUMBIA, SC 29201-2412
(803) 434-2300
(803) 254-2611
Mailing address
5 RICHLAND MEDICAL PARK DR, MEDICALLY FRAGILE CHILDREN'S PROGRAM, COLUMBIA, SC 29203-6863
(803) 434-2300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5854
SC
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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