Individual
MR. DARREN MATTHEW VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
38 BUSINESS CENTER DRIVE, PAWLEYS ISLAND, SC 29585
(843) 235-0200
(843) 235-0242
Mailing address
PO BOX 2397, PAWLEYS ISLAND, SC 29585-2397
(843) 235-0200
(843) 235-0242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4785
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1426
—
SC
Enumeration date
12/08/2009
Last updated
01/19/2010
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