Individual
MS. PAMELA OLENCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
MOORE ORTHOPAEDIC CLINIC, P.A., 14 MEDICAL PARK SUITE 200, COLUMBIA, SC 29203
(803) 227-8007
(803) 996-3180
Mailing address
PO BOX 843446, HEALTHTOUCH, LLC, BOSTON, MA 02284-3446
(803) 227-8007
(803) 996-3180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1721
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1721
PT LICENSE #
SC
Enumeration date
03/08/2006
Last updated
07/08/2007
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