Individual
DR. SAMUEL DIBRDIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3611 HIGHWAY 153, GREENVILLE, SC 29611-7516
(864) 350-8296
Mailing address
311 CEDAR CIR, EASLEY, SC 29642-1129
(864) 350-8296
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11466
SC
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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