Organization
PRO CHIROPRACTIC AND PERFORMANCE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK RYAN OTOOLE D.C. (OWNER)
(803) 309-3777
Entity
Organization
Contact information
Practice address
1014 LEESBURG RD, COLUMBIA, SC 29209-2131
(803) 309-3777
Mailing address
150 PELHAM DR, COLUMBIA, SC 29209-1320
(803) 227-3377
(803) 227-4884
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
3877
SC
Other
Enumeration date
04/02/2015
Last updated
04/20/2017
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