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Organization

ENVISION THERAPY SERVICES, LLC

Active
Other names
Petite Rehab Pediatric Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
SHERRI MCGRAW WICKER PT (OWNER)
(803) 360-8797
Entity
Organization

Contact information

Practice address
211 CHAPELWOOD DR, COLUMBIA, SC 29229-7121
(803) 661-9533
Mailing address
118A N BRICKYARD RD, COLUMBIA, SC 29223-6902
(803) 897-7022
(803) 832-1572

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
261QP2000X
Physical Therapy Clinic/Center
4836
SC

Other

Enumeration date
04/12/2012
Last updated
06/09/2021
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