Individual
MARIANNE CAROLINA WEICHSELBAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 W WESMARK BLVD, SUMTER, SC 29150-1955
(803) 938-5395
(803) 938-5396
Mailing address
141 ATRIUM WAY, COLUMBIA, SC 29223-6301
(803) 788-8484
(803) 788-8499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.9443
SC
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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