Individual
DERRIN G KLUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2880 TRICOM ST, SUITE B, NORTH CHARLESTON, SC 29406-9171
(843) 553-6343
(843) 553-6404
Mailing address
PO BOX 1844, CLEMSON, SC 29633-1844
(864) 482-0064
(864) 482-0081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6430
SC
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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