Individual
ALISON EUBANKS FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
731 POLO RD, COLUMBIA, SC 29223-4462
(888) 509-7094
Mailing address
108 NUBBIN RIDGE RD, COLUMBIA, SC 29203-9501
(803) 553-6155
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3466
SC
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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