Individual
CELIA HARBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1317 EBENEZER RD, ROCK HILL, SC 29732-2336
(803) 207-8177
Mailing address
1624 MAIN ST, COLUMBIA, SC 29201-2818
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2810
SC
Other
Enumeration date
03/09/2016
Last updated
07/12/2016
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