Individual
DEDRA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10160 DORCHESTER RD, SUMMERVILLE, SC 29485-8527
(843) 851-5820
(843) 832-6403
Mailing address
10160 DORCHESTER RD, SUMMERVILLE, SC 29485-8527
(843) 851-5820
(843) 832-6403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5587
SC
Other
Enumeration date
05/26/2008
Last updated
05/26/2008
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