Individual
DEBORAH H ANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
110 ATRIUM WAY, COLUMBIA, SC 29223-6301
(803) 788-9950
(803) 462-9858
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 758-2600
(803) 253-8896
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1925
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH2322
—
SC
Enumeration date
04/25/2006
Last updated
01/23/2013
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