Individual
THEODIUS OATES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
245 FOX SQUIRREL CIR, COLUMBIA, SC 29209-4480
(803) 237-6853
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6460
SC
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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