Individual
GLORIA ROBERTS HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3799 12TH STREET EXT STE 100, CAYCE, SC 29033-3750
(803) 926-6820
(803) 926-6821
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
667
SC
2251N0400X
Neurology Physical Therapist
667
SC
2251P0200X
Pediatric Physical Therapist
667
SC
2251X0800X
Orthopedic Physical Therapist
667
SC
Other
Enumeration date
01/06/2009
Last updated
03/12/2021
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