Individual
HEATHER CUMBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12023 N RADIO STATION RD, STE A, SENECA, SC 29678-1143
(864) 985-0770
Mailing address
400 GASSAWAY ST, CENTRAL, SC 29630-8817
(919) 604-1112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3714
SC PT LICENSE
SC
01
—
6404
LICENSE #
NC
Enumeration date
08/29/2006
Last updated
05/01/2009
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