Organization
DIVINE MOVEMENT & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATRINA RISHEA SHAW PT, DPT (PHYSICAL THERAPIST)
(205) 266-4199
Entity
Organization
Contact information
Practice address
125 LONG RIDGE DR, COLUMBIA, SC 29229
(205) 266-4199
Mailing address
125 LONG RIDGE DR, COLUMBIA, SC 29229
(205) 266-4199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/09/2022
Last updated
10/07/2024
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