Individual
JALEN PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7601 PARKLANE RD, COLUMBIA, SC 29223-6122
(803) 741-9090
Mailing address
7601 PARKLANE RD, COLUMBIA, SC 29223-6122
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4576
SC
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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