Individual
MRS. TERESA W. POPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPTA
Contact information
Practice address
1501 E GREENVILLE ST, ANDERSON, SC 29621-2004
(864) 226-8356
Mailing address
402 WOOD VALLEY DR, ANDERSON, SC 29621-7846
(864) 296-6874
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
315
SC
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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