Individual
SOPHIA BURSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 OKATIE CENTER BLVD N, OKATIE, SC 29909-3750
(803) 547-4058
Mailing address
100 OKATIE CENTER BLVD N, OKATIE, SC 29909-3750
(803) 547-4058
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12389
SC
Other
Enumeration date
06/18/2024
Last updated
09/29/2024
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