Individual
GLORIA NOEL GRODZKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
123 E MEDICAL LN, WEST COLUMBIA, SC 29169-4813
(803) 791-2397
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11931
SC
Other
Enumeration date
08/02/2023
Last updated
11/12/2024
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