Individual
KAREN OGLIETTI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7035 SAINT ANDREWS RD STE 203, COLUMBIA, SC 29212-1177
(803) 409-6759
(803) 791-2713
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003438
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003438
LICENSE #
SC
Enumeration date
01/25/2007
Last updated
11/10/2020
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