Individual
OAKLEY BAUMGARDNER SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1718 SAINT JULIAN PL, COLUMBIA, SC 29204-2410
(803) 771-0370
(803) 771-0371
Mailing address
1718 SAINT JULIAN PL, COLUMBIA, SC 29204-2410
(803) 771-0370
(803) 771-0371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5312
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5312
SC LICENSE
SC
Enumeration date
05/28/2007
Last updated
07/08/2007
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