Individual
JOANNA MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
101 BUSINESS PARK BLVD, COLUMBIA, SC 29203-8401
(803) 296-9206
Mailing address
101 BUSINESS PARK BLVD, COLUMBIA, SC 29203-8401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11741
SC
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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