Individual
MR. JERRY SCOTT OREILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
100 DREHER RD, SUITE 100, WEST COLUMBIA, SC 29169
(803) 525-8070
Mailing address
573 PLYMOUTH PASS DR, LEXINGTON, SC 29072-7028
(803) 960-7581
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1180
SC
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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