Individual
ETHAN HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
101 BUSINESS PARK BLVD, COLUMBIA, SC 29203-8401
(803) 296-7846
Mailing address
101 BUSINESS PARK BLVD, COLUMBIA, SC 29203-8401
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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