Individual
MRS. DARCIE M. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 WELLNESS BLVD., SUITE 204, IRMO, SC 29063
(803) 749-0808
(803) 749-0308
Mailing address
1 WELLNESS BLVD., SUITE 204, COLUMBIA REHABILITATION CLINIC, INC., IRMO, SC 29063
(803) 749-0808
(803) 749-0308
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3706
SC
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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