Organization
AQUASTRONG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELIA CAMPBELL (OWNER)
(803) 477-6767
Entity
Organization
Contact information
Practice address
214 SALUSBURY LN, COLUMBIA, SC 29229-8523
(803) 477-6767
Mailing address
214 SALUSBURY LN, COLUMBIA, SC 29229-8523
(803) 477-6767
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251C2600X
Cardiopulmonary Physical Therapist
—
—
2251E1200X
Ergonomics Physical Therapist
—
—
2251E1300X
Clinical Electrophysiology Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
2251H1300X
Human Factors Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/28/2019
Last updated
12/28/2019
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