Individual
IVAN KOLEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2829 MILLWOOD AVE, COLUMBIA, SC 29205-1261
(803) 851-3506
(803) 619-9551
Mailing address
2829 MILLWOOD AVE, COLUMBIA, SC 29205-1261
(803) 851-3506
(803) 619-9551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10520
SC
Other
Enumeration date
01/04/2021
Last updated
12/20/2022
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