Individual
MR. BRUCE D FILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2362 TWO NOTCH RD, COLUMBIA REHABILITATION CLINIC, COLUMBIA, SC 29204-2257
(803) 799-7007
(803) 256-8410
Mailing address
2362 TWO NOTCH RD, COLUMBIA REHABILITATION CLINIC, COLUMBIA, SC 29204-2257
(803) 799-7007
(803) 256-8410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
387
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1590
—
SC
Enumeration date
10/06/2006
Last updated
08/13/2026
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