Organization
ITS ALL FUN THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANAE L DAVIS PT (PHYSICAL THERAPIST / MANAGER)
(803) 642-1974
Entity
Organization
Contact information
Practice address
1616 RABON FARMS LN, COLUMBIA, SC 29223-5879
(803) 270-9556
Mailing address
1616 RABON FARMS LN, COLUMBIA, SC 29223-5879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
02/18/2021
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