Individual
TERESA M GROTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1519 TAYLOR ST, COLUMBIA, SC 29201-2918
(803) 779-8327
(803) 799-3603
Mailing address
1519 TAYLOR ST, COLUMBIA, SC 29201-2918
(803) 779-8327
(803) 799-3603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5786
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5786
PT LICENSE
SC
Enumeration date
07/31/2008
Last updated
06/22/2010
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