Individual
MR. MICHAEL PHILLIP VAHJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
112 VENTURE CT, GREENWOOD, SC 29649-8558
(864) 223-0900
Mailing address
112 VENTURE CT, GREENWOOD, SC 29649-8558
(864) 223-0900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4484
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1615
—
SC
Enumeration date
01/19/2006
Last updated
10/12/2007
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