Individual
DR. WILLIAM OLIVER REESIDE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
109 PARK PLACE CT, LEXINGTON, SC 29072-6690
(803) 933-6784
Mailing address
1910 BLANDING ST, COLUMBIA, SC 29201-3520
(803) 256-4107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12762
NC
225100000X
Physical Therapist
6268
SC
2251X0800X
Orthopedic Physical Therapist
Primary
6268
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12762
NC BOARD OF PT EXAMINERS
NC
01
—
6268
SC BOARD OF PT EXAMINERS
SC
Enumeration date
08/27/2010
Last updated
02/05/2021
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