Individual
THOMAS VANDIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 MUTUAL DR, ANDERSON, SC 29621-1767
(864) 261-3313
(864) 261-3371
Mailing address
120 MUTUAL DR, ANDERSON, SC 29621-1767
(864) 261-3313
(864) 261-3371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12894
SC
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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