Individual
MR. SANTTANU MCDANIEL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
21 GATEWAY CORNERS PARK STE 102, COLUMBIA, SC 29203-8906
(803) 699-9775
Mailing address
109 LOGGERHEAD DR, COLUMBIA, SC 29229-7909
(803) 529-9166
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4659
SC
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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