Individual
SUZANNE ELIZABETH CORBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
416 BAKERTON CT, COLUMBIA, SC 29212-8527
(803) 354-1193
Mailing address
416 BAKERTON CT, COLUMBIA, SC 29212-8527
(803) 354-1193
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1032
SC
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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