Individual
MR. ROBERT MACELDERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2362 TWO NOTCH RD., COLUMBIA, SC 29204
(803) 799-7007
(803) 256-8410
Mailing address
2362 TWO NOTCH RD., COLUMBIA REHAB. CLINIC, INC., COLUMBIA, SC 29204
(803) 799-7007
(803) 256-8410
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2073
SC
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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