Individual
MRS. CAROL REYNOLDS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7601 PARKLANE RD, COLUMBIA, SC 29223-6122
(803) 741-9090
(803) 741-1914
Mailing address
100 BOSTWICK RDG, COLUMBIA, SC 29229-8922
(803) 865-6298
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1344
SC
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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