Individual
MATTHEW FRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
14 MEDICAL PARK SUITE 200, MOORE ORTHOPAEDIC CLINIC, P.A., COLUMBIA, SC 29203
(803) 227-8000
Mailing address
P.O. BOX 843384, MOORE ORTHOPAEDIC CLINIC, P.A., COLUMBIA, SC 29203
(803) 227-8008
(803) 227-8038
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2775
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2775
OT LICENSE
SC
Enumeration date
11/01/2006
Last updated
07/08/2007
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