Individual
SAVANNAH RAY FREDENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3620 COVENANT RD, COLUMBIA, SC 29204-4216
(803) 787-3033
Mailing address
702 HOLLAND AVE, CAYCE, SC 29033-3921
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9817
SC
Other
Enumeration date
08/23/2019
Last updated
02/15/2023
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