Individual
WILLIAM CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
4122 CLEMSON BLVD, ANDERSON, SC 29621-1100
(864) 430-8358
Mailing address
502 W FREDERICKS ST, ANDERSON, SC 29625-2278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8624
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8624
CASH BASED, NO RELATIONSHIP WITH MEDICARE
—
Enumeration date
02/21/2018
Last updated
06/16/2018
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