Individual
LISA RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
(803) 695-7932
Mailing address
6439 GARNERS FERRY ROAD, COLUMBIA, SC 29209
(803) 776-4000
(803) 695-7932
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1736
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1736
KINESIOTHERAPY CERTIFICATION
SC
Enumeration date
06/03/2014
Last updated
06/03/2014
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