Individual
DR. SRIDEVI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
1007 N KINGS ST, COLUMBIA, SC 29223-1916
(803) 699-4111
Mailing address
54 CLIPPER WAY, COLUMBIA, SC 29229-7005
(803) 479-8551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5056
SC
Other
Enumeration date
02/03/2019
Last updated
02/03/2019
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