Individual
CHRISTINE KOSTURA PRIDGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
10071 BROAD RIVER RD, SUITE B, IRMO, SC 29063-2381
(803) 445-1069
(803) 445-1097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6192
SC
Other
Enumeration date
06/23/2010
Last updated
11/10/2020
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