Individual
CORY HERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 KING ST, COLUMBIA, SC 29205-1613
(843) 489-2430
Mailing address
1010 KING ST, COLUMBIA, SC 29205-1613
(843) 489-2430
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5124
SC
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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