Individual
MR. DEAN HOMER KOHLHEPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPTA
Contact information
Practice address
201 BAIREFOOT RD, EHRHARDT, SC 29081-0033
(803) 696-1144
(803) 696-1144
Mailing address
391 SUMTER ST, APT 4, LAKECITY, SC 29560
(803) 696-1144
(803) 696-1144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
394
SC
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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