Individual
DR. JEFFREY SCOTT DERENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1900 SUNSET BLVD, WEST COLUMBIA, SC 29169-5959
(803) 926-7204
(803) 926-7206
Mailing address
1900 SUNSET BLVD, WEST COLUMBIA, SC 29169-5959
(803) 926-7204
(803) 926-7206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6396
SC
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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