Individual
JOSEPH SLAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L/PTA
Contact information
Practice address
731 POLO RD, COLUMBIA, SC 29223-4462
(803) 419-0431
Mailing address
731 POLO RD, COLUMBIA, SC 29223-4462
(803) 419-0431
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3482
SC
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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