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Individual

MR. GIL CORPUZ ANTONIO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
481 INDIGO RIDGE DR., COLUMBIA, SC 29229
(252) 655-1246
Mailing address
481 INDIGO RIDGE DR, COLUMBIA, SC 29229-7157
(252) 655-1246

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01303700
NJ

Other

Enumeration date
02/02/2009
Last updated
02/02/2009
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