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Individual

JASON CARRERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7298
SC

Other

Enumeration date
03/27/2014
Last updated
03/27/2014
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